Online Credit Application | MDG - Bad Credit, No Credit

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& YOU COULD PRE-QUALIFY IN SECONDS!

Application for Credit Account issued by CCBank

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In order to proceed with your application for a credit account, our verification department will require a checking or savings bank account with recent 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.

Do you have a pre-screened customer code?

Yes
No

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.

Cell Phone

Home Phone

Social Security Number

Total Monthly Income*

Where is your main source of money/income put into? What do we mean?

Checking / Savings Bank Account What is this?
Prepaid Card or Money Card What is this?
None of the above

Do you have a Checking or Savings Account?
What do we mean?

Yes No

Enter the Bank Name where your main source of money is deposited

Employment

If you are receiving unemployment insurance benefits, parental leave, alimony, child support, or separate maintenance, select Other

Employer

Position

Work Phone

Living Arrangement

Monthly Rent Payment

Monthly Mortgage Payment

	By checking this box, I confirm that I have read and agree to the Application Terms and Conditions, Privacy Policy, ESIGN Act Consent and Disclosures, and Basic Credit Monitoring Terms of Service, and consent to MDG USA Inc. and Capital Community Bank, a Utah Chartered bank, located in Provo Utah, Member FDIC, obtaining a credit score and/or report from credit reporting agencies to display my credit data to me, to present me with relevant offers, and to use it in connection with the determination to open or collect on my credit Account.

	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.

Up to $3,000 in Credit ¹

Soft Credit Inquiry
pre-qualifying won’t
affect your score

no long term
commitments

Low minimum
payments

No Penalty
for paying your
balance in advance

All Payments Reported
to a National Credit
Bureau