New Customers

Note: Please check and verify all the data you have submitted.

Personal Information
Please note: we are only able to provide loans to residents of British Columbia.
Last Name*
First Name*
Date of Birth*
MM slash DD slash YYYY
Phone Number*
Email Address*
Address*
Street Address City Postal Code
Amount Requested*
Please enter the dollar amount you're requesting up to $400.
Employment or Income
Income Source*
Employer Name (If employed)
Employer Address
City

Enter the address of your employer
Position
Employer Phone Number (if employed)
Income frequency*
Average Income per pay period*
Paid by (any income received)*
- Direct deposit
- Cheque
Reference 1
Reference Name One*
Relation*
Phone Number*
Reference 2
Reference Name 2*
Relation*
Phone Number*
How did you hear about us?*
ID and Pre Authorized Debit Form
60 Days Bank Statement*
Please continue onto the second page to complete your banking verification after you click submit.
Terms and Conditions*
- These “Terms of Use” outline the terms and conditions under which you view and use the Site (Money Money Payday Loans). By viewing or using the site you acknowledge to have read and understood all terms and conditions outlined here, and you agree to abide by these Terms of Use
Terms and Conditions

Disclaimer

British Columbia: License 64377

Maximum charges permitted in British Columbia

for a payday loan: 15% of the principal. We charge: 15% of the principal.

For a $300 loan for 14 days:

Total cost of borrowing = $45

Annual Percentage Rate = 391.07%