Retailer Information
The Alchemy Consulting Group 1732 S Park Ct Suite D Chesapeake, VA 23320
Applicant Information
First Name
*
Last Name
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SSN
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Birthdate
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Cell Phone
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Email
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Address
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Suite/Apt#
City
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State
*
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Zip
*
Credit Rating
*
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Excellent (720 +)
Good (660 - 719)
Fair (620 - 659)
Poor (< 620)
Purpose
*
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Debt Consolidation
Home Improvement
Large Purchase
Car Repair
Green
Household Expenses
Medical and Dental
Moving and Relocation
Taxes
Vacation
Wedding
Other
Unknown
Property status
*
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Own with mortgage
Own outright
Rent
Unknown
Education Level
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High School Diploma
Associate's Degree
Bachelor's Degree
Master's Degree
Other Graduate Degree
Other
Unknown
Income Information
Amount Requested
*
Total Monthly Income
*
Pay Frequency
*
Weekly
Bi-Weekly
Semi-Monthly
Monthly
By checking this box, I hereby consent to the
"E-Sign Agreement"
, the
"Credit Authorization Agreement"
, the
"Terms of Service"
, and
"Privacy Policy"
, and am providing written consent under the FCRA for Flexxbuy LLC. and its partners and their affiliated companies via email and/or at the telephone numbers(s) I have provided above to explore personal financing offers, including contact through automatic dialing systems, artificial or pre-recorded voice messaging, or text message. Consent is not required as a condition to utilize Flexxbuy LLC, and you may choose to be contacted by an individual customer care representative(s) by calling (866) 343-5268
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