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I certify that the information supplied by me is true and correct. I authorize verification of all information
contained herein. I expressly authorize contact with any person or company identified to verify any of the
information or to leave a message for me. I have read and understand the above statements. I acknowledge
that this application and any supporting documentation provided with it is the property of Quick Cash Of
Missouri. I understand that Quick Cash Of Missouri will not perform a lengthy credit check on me, but may
perform a search in the Tele-Track database. I agree to and authorize such a search and credit analysis. I
understand that upon approval of my application I will be required to sign a Waiver of Jury Trial and Arbitration
Provision. By agreeing below, I acknowledge and agree that the Waiver of Jury Trial and Arbitration Provision
will remain in effect if I cancel or terminate the transaction and will apply to any disputes I may have about this
application.
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