EasyPay (Midlands) Ltd

How much would you like to borrow?

You will be paying back at per week over weeks.
Note: The above statement is based on the representative example below and is not final

£300 loan repayable over 20 weeks at £21.90 per week. Rate of interest 203.34% p.a fixes. Representative 635.02% APR. Total amount payable is £438

Compare the price of home collected and other cash loans available in your area at www.lenderscompared.org.uk

Under Credit Referencing Agency Information Notice (CRAIN) you have the right to see how we will use your information about your application and consult a Credit Reference Agency. You have the right to object to Credit Reference agencies using your personal information, however if you do we will not be able to continue with your application.
Please click here to review the document.

Tell us about yourself!

Title

First Name

Last Name

Gender

Email Address

Telephone Mobile

Telephone Home

Date Of Birth

Marital Status

Monthly Income

Residential Status

Employment Status

Employer Name

Do you have a DRO / IVA?

Do you have active CCJs?

Are you seeking DRO / IVA?

Do you receive any of the following?

Preferred Payment Day

National Insurance Number

Reason for a loan?

Loan Purpose

Where do you live?

Postcode

Flat

House Number

House Name

Street

Town

County

How long have you lived at this address?

Years at Address

Months at Address

How many dependants live at this address?

What was your previous address?

Previous Postcode

Previous Flat

Previous House Number

Previous House name

Previous Street

Previous Town

Previous County

For how long did you live at this address?

Previous Years at Address

Previous Months at Address

How would you like to receive your funds?

How would you like to repay?

Referred by?

How did you hear about us?

If by an agent, whom?

Stay in the loop?

By ticking the boxes below you consent for us to use information we hold about you, including details of transactions and to contact you with offers about other products:

TO RECEIVE OFFERS, INFORMATION AND NEWS, DETAILS ABOUT NEW SERVICES OR PROMOTIONS I AGREE THAT EASYPAY (MIDLANDS) LTD MAY CONTACT ME:

You can change or withdraw your preferences at any time by telephoning us on 0289 9279 4210 emailing us at onboarding@easypaymidlands.com or writing to us at 145 Potters Lane Wednesbury WS10 0AT. Your preferences will be updated on our customer database by our administration team.

via Sms

via Phone

via Post

via Email

I confirm that I have photographic identification at my address

I give permission to search my records with a credit reference agency who will record details of the search

I give permission to the company to call with me at my home if necessary to discuss my application, gather documentation and to discuss my account

We protect all the information you give us under the Data Protection Act, and we are full members of the UK Consumer Credit Association. You can view our full terms & conditions as well as our privacy notice here on our website.

I Agree to the Responsible Lending policies

You must confirm you have identification at your address
You must accept the responsible lending policy
You must accept the terms and conditions You must accept the permission to call