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First name:
Last name:
Email:
Yes
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I am currently employed or I receive recurring income regularly.
I make at least $1000 per month.
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1 week
2 week
3 week
4 week
1 month
3 month
6 month
1 year+
How long have you held your checking account.
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Yes
Have you had any over drafts in the last 60 days.
Drafts
1
2
3
4
5+
How many over drafts in the last 60 days.
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