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Testimonials

"The service I recieved was fantastic"
Lori S

"The process is efficeint and quick. The money was deposited into my account within 24 hours and I was free to use it how I needed"
Marie P

"I found your service to be quick and easy and I would definitely recommend you"
Valerie G

"I thought the Customer Service Agents were helpful and quick and I got my loan approved the same day"
Amber T

"cash2day4u.com has helped me with emergency medical situations as well as emergency car repairs"
Bruce K

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Home Phone		Work Phone
		Work Ext
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When To Call		Best Tel# To Call

Address		City
State		Zip

	Banking Details
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Bank Name		Bank Phone
Account #

	Employment Details

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State		Zip

Employment Status
Years Employed		Months Employed
Monthly Income		Pay Period
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I hereby give permission to verify the above information for a credit decision based on the verified information. In accordance with the, "Electronic Signatures in Global and National Commerce Act", by typing my name in the signature box below I understand it is as legally valid and binding as a written signature. I also certify that the above information is true to the best of my knowledge.
Arbitration of All Disputes: You and we agree that any and all claims, disputes or controversies between you and us, any claim by either of us against the other (or the employees, officers, directors, agents, servicers or assigns of the other) and any claim arising from or relating to your application for this loan, regarding this loan or any other loan you previously or may later obtain from us, this Note, this agreement to arbitrate all disputes, your agreement not to bring, join or participate in class actions, regarding collection of the loan, alleging fraud or misrepresentation, whether under common law or pursuant to federal, state or local statute, regulation or ordinance, including disputes regarding the matters subject to arbitration, or otherwise, shall be resolved by binding individual (and not joint) arbitration by and under the Code of Procedure of the National Arbitration Forum ("NAF") in effect at the time the claim is filed. This agreement to arbitrate all disputes shall apply no matter by whom or against whom the claim is filed. Your arbitration fees will be waived by the NAF in the event you cannot afford to pay them. The cost of any participatory, documentary or telephone hearing, if one is held at your or our request, will be paid for solely by us as provided in the NAF Rules and, if a participatory hearing is requested, it will take place at a location near your residence. This arbitration agreement is made pursuant to a transaction involving interstate commerce. It shall be governed by the Federal Arbitration Act, 9 U.S.C. Sections 1-16. Judgment upon the award may be entered by any party in any court having jurisdiction. NOTICE: YOU AND WE WOULD HAVE HAD A RIGHT OR OPPORTUNITY TO LITIGATE DISPUTES THROUGH A COURT AND HAVE A JUDGE OR JURY DECIDE THE DISPUTES BUT HAVE AGREED INSTEAD TO RESOLVE DISPUTES THROUGH BINDING ARBITRATION.Agreement Not To Bring, Join Or Participate In Class Actions: To the extent permitted by law, you agree that you will not bring, join or participate in any class action as to any claim, dispute or controversy you may have against us, our employees, officers, directors, servicers and assigns. You agree to the entry of injunctive relief to stop such a lawsuit or to remove you as a participant in the suit. You agree to pay the attorney's fees and court costs we incur in seeking such relief. This agreement does not constitute a waiver of any of your rights and remedies to pursue a claim individually and not as a class action in binding arbitration as provided above. This agreement not to bring, join, or participate in class actions is an independent agreement and shall survive the closing and repayment of the loan for which you are applying.By submitting this Application you certify that all of the information provided above is true, complete and correct and provided to us for the purpose of inducing us to make the loan for which you are applying. By submitting below you also agree to the Agreement to Arbitrate All Disputes and the Agreement Not To Bring, Join Or Participate in Class Actions.(This Application will be deemed incomplete and will not be processed by us unless signed by you.) You will be charged additional fees if you renew the loan. Electronic Presentment of Funds You agree to the electronic presentation by us of any funds owed and to the re-presentation of any presentations that are returned to us for any reason. Further, by submitting the application form, the customer authorizes us or our designated servicer, and the customer's current verified financial institution (even if the financial institution and/or account numbers are different than those on the original application) to initiate debit (ACH or bank draft) and credit entries as necessary when an original ACH transaction is returned unpaid or unable to complete. The customer authorizes us or our designated servicer and/or assigned collection agency to submit ACH and/or bank draft debits for partial payments to allow full repayment of the cash advance and any/all associated fees to be completed. The customer authorizes us or our designated servicer to make both debit and credit entries, to and from any bank account of the customers at any institution, from time to time, for fixed and variable amounts, including recurring transactions and point-of-sale transactions, according to the terms of the customer's agreement. The customer understands and agrees that we or our designated servicer do not need to notify the customer prior to any recurring debit entry for a fixed amount, or prior to any point-of-sale debit entry initiated by the customer, or prior to any credit item.
I have read and agree to all the notices and disclosures above.
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