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1. Customer Information (questions?)

Loan Amount:

Please select a loan amount

*First Name

Please provide your first name

*Last Name

Please provide your last name

*Street Address

Please provide your street address

Apt. or Suite #

*Zip Code

Please provide your zip code

Home Owner

Please select home owner option

Time At Address

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Active Military

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2. Contact Information (questions?)

*Email Address

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*Home Phone #

Please provide a valid phone number (valid format xxx-xxx-xxxx)

3. Employment Information (questions?)

Type of Income

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Monthly Income

Please select monthly income option

*Employer Name

Please provide employer name

*Employer's Phone #

Please provide employer phone number (valid format xxx-xxx-xxxx)

Months Employed

Please select months employed option

Direct Deposit

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Pay Frequency

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*Upcoming Paydate (must be no later than 60 days)

Please select month

Please select day

Please select year

4. Bank Information (questions?)

Account Type

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*Bank Name

Please provide a bank name

Months With Bank

Please select months with bank option

*Bank ABA #

Please provide a valid bank routing number

*Bank Account #

Please provide a valid bank account number

5. Security Information (questions?)

*Date of Birth

Please select month of birth

Please select day of birth

Please select year of birth

*Driver's License #

Please provide a driver license

Driver's License State

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*Social Security #

Invalid social security number. (valid format XXX-XX-XXXX)

Credit Score

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Credit card debt?

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Bison Green Loans

At Bison Green Loans, our mission is to offer financial support that respects and uplifts our customers, helping them navigate life's challenges with confidence and dignity.

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8164 Las Vegas Blvd S #554 Las Vegas, NV 89123

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844-575-3209