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Please note that this the form for Free Members, therefore the cash back offer does not apply.

Thank you for your interest in a Card Merchant Cash Advance.

Your membership details should have been automatically filled in, however, you can edit them, if required.

If they are incorrect, we recommend that you update them in your Member Profile, here, and then come back to this form.

Please ensure that the last three questions, relating to your merchant account usage, are completed, to ensure a prompt response.