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C
omplete the form below and you'll
quickly be on your way to receiving your cash loan!
Fast and easy credit check process
Find Out How Much You May be Able to Borrow
Payment options
About You
Your Email Address
*
Emailcopy
What is your loan purpose?
*
Select
Select
Car repairs
Debt repayment
Dental expense
Medical expense
Pay a bill
Rent or mortgage
Holiday
Other
First name
*
Middle name
Last name
*
Mobile Number
*
Date of Birth
*
Date Format: DD slash MM slash YYYY
Your residential address
*
Suburb
*
City
*
Are you a New Zealand Resident?
Yes
No
ID Confirmation - Optional
Select
Drivers License
Passport
Drivers License Number (5a)
Version (5b)
Drivers license expiry (4b)
Date Format: DD slash MM slash YYYY
Passport number
Employment
Company Name
*
Payrolls Phone number
We don't call your payroll without your permission, however if you don't meet our lending rules it is possible to still be approved if we can arrange for the payments to come directly from your employer. We will talk to you before we talk to your employer. This is the easiest way to have your loan approved if you have bad credit.
Payrolls Email Address
If you would like us to arrange for the repayments to come directly from your employer, please input their email address. We will not contact them without your permission. Please give your payroll a heads up that we will be contacting them.
How long have you been employed?
*
Less than 90 days
Between 90 days and 1 year
Longer than 1 year
Longer than 2 years
Weekly income after tax
*
Bank Details
Bank Name
ANZ
ASB
BNZ
Westpac
Kiwibank
Other
Bank account for direct debits
Promo code / Referral
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Hi
Before you click apply, we need to tell you some important information about your loan:
The total amount you will have to pay back to us is: $. This is made up of the following:
Principal: $
Establishment fee: $25
Direct debit fees: $
Interest: $
An amount of $ will be deducted from your bank account for a total of times.
Your first deduction will commence on :
A copy of your loan agreement can be downloaded
here
. Please read this as well as our general terms which can be found
here
. Once you click 'Submit' a copy of the agreement will be emailed to you.
Please be aware that the annual interest rate of this loan is 547.5% per annum. A list of our fees can be found
here
.
Signature
*
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