Online Credit Application | MDG - Bad Credit, No Credit

Application for Credit Account issued by CCBank

In order to proceed with your application for a credit account, our verification department will require a checking or savings bank account with minimum of 90 days activity.
Your main source of income needs to be deposited into your checking or savings bank account. Income deposited into prepaid card, debit visa, or gift card will not be accepted.

Enter your email address

Create password

First Name

Last Name

Enter your date of birth

Street Address

City

US State

US Zip Code

Important Information
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens a Credit Account.
What this means for you: When you open a Credit Account, we will ask for your name, street address, date of birth, Social Security Number and other information that will allow us to identify you.

Home Phone

Social Security Number

Total Monthly Income *

Source of Income *

Employer

Position

Work Phone

Living Arrangement

Monthly Rent Payment

Monthly Mortgage Payment

	I have read and agree to the Terms of Use and Consent to Use of Telephone Numbers, Privacy Policy and ESIGN Act Consent and Disclosures, and consent to MDG USA Inc. and Capital Community Bank, a Utah-chartered bank located in Provo, UT Member FDIC, obtaining a credit score or report for the purpose of pre-qualifying and approving my credit from a credit reporting agency.

	Cell Phone By checking this box for SMS ( Including text messages), I agree to receive status updates regarding my application, bill payment reminders and shipping information. I understand that I am not required to agree to SMS messages in order to apply for a Credit Account. I understand that I will not be sent SMS messages unless I consent by checking this box. Message an data rates may apply. You will receive up to 8 SMS messages per month. Text HELP to 63487 for help, text STOP to opt-out. For information see our Privacy Policy and SMS Terms and Conditions.