Application - Basic Details - 3Pay

3Pay

Application

1Getting Started

2Your Details

3Business Details

4Bank Information

5Repayment Frequency

6Summary

Work email address*
By clicking on 'Begin Application', you provide consent and agree to the following:

First Name*
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Middle Name
Last Name*
Hidden
Contact Email*
Contact Phone*
Residential Address
Address*
Address Line 1 Address Line 2 City State Postal Code
Driver's Licence Number*
Driver's Licence State*
Date of Birth*

Business Name*
Please enter an ABN / ACN*
If you trade by a different name, please enter it here
Registered Business Address
Address*
Address Line 1 Address Line 2 City State Postal Code

Your data is sent directly to Illion Bank Statements. It is encrypted with 256-bit encryption and secured by 2048-bit keys. You can read about data protection and security here: https://www.bankstatements.com.au/about/security.
Last 4 numbers of the bank account to fund repayments:*

Would you like your 3Pay repayments to be:*
- Monthly
- Weekly

I hereby give my consent and agree to the following (links can be found in the footer below):
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Loan Amount
Website Terms of Use*
Website Terms of Use*
Privacy Policy*
Privacy Policy*
Consent to Communicate Electronically*
Consent to Communicate Electronically *
*
Consent to Use Personal Information *
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