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Contact Information

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To visit another lender that is available in your state, please click 'Continue' below.

You understand that by clicking "Continue" below, you will leave RISE's secure website and will be redirected, via an independent third party service, to other lenders not affiliated with RISE. You acknowledge that such lenders may not offer the same product (installment loans), the same loan amounts, the same rates, fees or terms as RISE, and that such lenders may or may not be licensed in your state. Further, you understand and acknowledge that RISE is not an agent, representative or broker of any such lenders and RISE cannot guarantee you will be approved for a loan. None of the information that you may have filled out on this application page will be provided to a nonaffiliated lender.


Financial Information

Note: Alimony, child support or separate maintenance income need not be revealed if you do not wish it to be considered as a basis for repaying this obligation. Do not include the income of a spouse or another person in your total income calculation. To qualify for a loan you don't need to be employed, but you must have a regular source of income.

Additional Income (Optional)

Bank Information


References will NOT be contacted to approve your loan. Please provide two references below.

First Reference

Second Reference

Account setup

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  • - 1 lower case letter
  • - 1 number
  • - 1 special character (e.g., !@#$%^)



In order for us (and, for Texas and Ohio residents, any third-party lender who may make a loan to you) to provide disclosures and other communications related to this loan application and any credit services agreement or loan agreement that we (or any third party lender) may enter into with you (now or in the future) electronically, we must obtain your consent in accordance with the provisions set forth in this Consent to Electronic Disclosures and Communications (this "Consent").

By consenting to the electronic delivery of disclosures and communications, you agree that we may, (and any third-party lender who makes a loan to you may), but are not obligated to, provide electronically any and all communications relating to your loan application and any loan or credit services that may be extended to you (now or in the future). Disclosures and communications that may be provided to you electronically include but are not limited to the Loan Application, the Loan Agreement, the Credit Services Disclosure/Information, the Credit Services Contract, this Consent, the Truth-in-Lending disclosures set forth in your Loan Agreement, change-in-term notices, fee and transaction information, statements, delayed disbursement letters, notices of adverse action, state mandated brochures and disclosures, and transaction information, as applicable.

To electronically receive, view, and save the disclosures and communications from us, (or from a third-party lender who makes a loan to you), you must have a personal computer equipped with Microsoft Explorer 4.0 or above, or equivalent software, and either a printer, a hard drive, or other storage device. You must also have a valid email address.

Prior to submitting your application, you may withdraw your consent to electronic disclosures and communications by exiting the RISE website. You will not be able to submit your loan application if you withdraw your consent to receive electronic disclosures and communications, because all loan applications require an electronic signature. If you electronically submit a loan application, you will be deemed to have agreed to the terms of this Consent (unless you withdraw such Consent, as discussed below).

If you withdraw your Consent after electronically submitting your loan application but before a final credit determination, this action will be treated as the affirmative withdrawal of your loan application and the review of your loan request will not be continued. To withdraw this Consent after you have submitted your loan application or during the term of any loan you may obtain from us, (or a third-party lender), please contact us by calling (866) 580-1226, or write to us at: RISE, Attn: Disclosure Request, 4150 International Plaza, Suite 300, Fort Worth, TX 76109. Note that it may take up to three business days from receipt to process your withdrawal request.

You have the option to receive any information provided to you electronically in paper form at no cost to you. To request a paper copy of any information provided to you electronically, please contact us by calling (866) 580-1226, or write to us at:
RISE, Attn: Disclosure Request, 4150 International Plaza, Suite 300 Fort Worth, TX 76109.

You must notify us of your email address changes. To notify us of your new email address, please log on to and update your email address on the Account Settings page.

Please print out a copy of this Consent to Electronic Disclosure and Communications and keep it for your records.

By entering the last four digits of your social security number and clicking "Submit" below, you agree to the Consent to Electronic Disclosures as set forth above, acknowledge that you have read and understand the Loan Cost and Terms, and agree to our Terms and Conditions for your state of residence.

NOTE: You may change your contact preferences at any time by logging into your account at and selecting "Account Settings" or by calling us at 866-580-1226 or emailing us at Changes to your contact preferences will not impact your loan application or the loan approval process, and you do not need to agree to be contacted by text message as a condition to getting a loan from RISE.

RISE will handle your non-public personal information as described in our Privacy Policy. See our Privacy Policy for more information.

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