Payday Loan Application
* First Name
* Last Name
* Phone
Alternative Phone
Select a Choice
Home   Work   Cellular  
Select a Choice (Alternative)
Home   Work   Cellular  
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Have you ever had a loan from a Cash Canada payday loan location?
Yes   No  
Time at Current Address (Years and Months)
Social Insurance Number
Date of Birth
Paid by Direct Deposit?
Yes   No  
Do you use Online Banking
Yes   No  
* How much do you want to borrow?
$
* E-mail
Coupon Code
    * Marked fields are required

Fresh Start Credit

This powerful and unique system can help you re-build your credit score.

The YES Card

It works like a bank account with a pre-set lending limit that works for you.

We pay cash for referrals

We will pay you $20 for each successful first-time loan referral that you make.

Important Notices

  • Maximum charges permitted in Alberta for a Payday Loan: $23.00 per $100 Lent
  • We charge $23.00 per $100 Loaned
  • For a $300 loan for 14 days: Maximum total cost of borrowing: $69.00
  • Annual Percentage Rate for the loan stated above is 598%
  • Alberta Payday Loans Business License Number: 328515

This information meets the requirements of the Payday Loans Regulations under the Fair Trading Act