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Personal Information

First Name

Last Name

Date of Birth

Mobile Phone

Preferred contact method

Address

Apt

City

Province

Postal Code

Employer Information

Name

Telephone

Address

Suite

City

Province

Postal Code

Hired Date

Next Pay Date

Pay Frequency

References Information

Reference 1

First Name

Last Name

Telephone

Relationship

Reference 2

First Name

Last Name

Telephone

Relationship

Line of Credit Information

Amount of your line of credit

Amount to borrow on your line of credit

Frequency of your payments

Conditions

I confirm that the information entered in this form is true

I confirm that I am over 18 AND that I am a Canadian citizen

I agree that CreditClick will contact me periodically by email for promotions or updates regarding my line of credit

Requirements to submit an application

Applicant must be 18 years of age or older

Applicant must be a resident of Canada

Applicant must have a stable income for a minimum of 4 months

Applicant must receive their income by direct deposit into a Canadian bank account

Applicant must have a minimum income of $2,000 per month

Applicant must not have filed for bankruptcy in the last 6 months or consider filing for bankruptcy or a consumer proposal in the next 6 months