Need cash quick but caught between paydays? Let CashInAClick.com show you the money!
This quick and easy, 2-minute application qualifies you for a cash advance up to $1500.00, fast! Apply in the morning—cash is deposited in your bank account that evening. It’s that easy!
First Name:
Last Name:
Street Address:
City:
State:
Zip:
Email:
Home Phone:
-
-
SSN:
Date of Birth:
-
-
/
/
License Number:
License Issuing State:
Employer:
Occupation:
Work Phone:
-
-
Monthly Income:
Pay Frequency:
Direct Deposit:
Weekly
Bi-Weekly
Semi-Monthly
Monthly
YES
NO
Next Pay Date:
Second Pay Date:
/
/
/
/
BankName:
Account Number:
Routing Number:
Bank Account Type:
Checking
Savings
Reference:
Reference Phone:
-
-
Second Reference:
Second Reference Phone:
-
-
Would you like to get a national platinum card to get an immediate $10,000 credit line?*
YES
NO
*By accepting this offer you authorize MyCashCentral.com to provide to National Platinum the same information that you provided on the previous pages, in addition, you hereby authorize National Platinum to debit your bank account for the one time fee of $49.95. Thereafter a $14.00 monthly membership fee will be debited from your account each month. Credit line to be used to purchase brand name merchandise exclusively from an online mega-store. This is not a debit or credit card. Applicant must be at least 18 years of age and have a valid U.S. checking account. National Platinum allows account holder to make merchandise purchases exclusively from its on-line shopping site. Most purchases from online shopping site will require a small down payment. This offer not available to residents of Wisconsin.
WAS THE LEGAL NOTICE READ AND UNDERSTOOD ?
YES
©Cash in a Click.com - All Rights Reserved
Legal
l
Privacy Policy