Back to home>> After sending your request, you will receive a confirmation email 💰 1Personnal information2Revenue information3DocumentsPersonal informationE-Mail* Enter Email Confirm Email I agree* By checking this box, I agree to receive information and promotional offers from Fastbank. I understand that I can withdraw my consent at any time.First Name*Last Name*Social Insurance Number*Date of Birth* DD slash MM slash YYYY Gender*ChooseMenWomenCell Phone Number*Home Phone Number*Address*Apt.City*Postal Code*Province*AlbertaBritish ColumbiaPrince Edward IslandManitobaNew BrunswickNova ScotiaOntarioQuebecSaskatchewanNewfoundland and LabradorNunavutNorthwest TerritoriesYukonRevenue informationNet monthly salary*Choose$ 900 to $ 1200$ 1200 to $ 1400$ 1400 to $ 1600$ 1600 and moreSource of Income*ChooseEmployedSelf-employedUnemploymentRetiredDisability CSST SAAQParental insuranceName of the Employer*Job Description*Name of Immediate Supervisor*Work Phone Number*Hiring date* DD slash MM slash YYYY Are You Paid By?*ChooseDirect DepositChequesPay Frequency*ChooseWeeklyBimonthlyMonthlyNext Pay Deposit?* DD slash MM slash YYYY Information to Claim Your CashAmount*Choose$250$500$750$1000$1250$1500Are you planning on declaring bankruptcy or entering a consumer proposal?*ChooseYesNo Warning NOTE THAT IF YOU DECLARE BANKRUPTCY OR CONSUMER PROPOSAL BEFORE THE END OF YOUR CONTRACT, YOU MAY BE CHARGED WITH FRAUD UNDER SECTION 178 (1) OF THE BANKRUPTCY AND INSOLVENCY ACTDocumentA pre-authorized debit form (DPA) or a check specimen corresponding to your bank statement*Max. file size: 64 MB.Photo identification (Example: Driver's license)*Max. file size: 64 MB.Proof of residence (invoices or lease of the current or previous month)*Max. file size: 64 MB.Δ This post is also available in: Français (French)
