You're one step closer to reaching your financial needs Fill out the application form below and a member of our team will be in touch with you. Step 1: Your Information First Name * Last Name * Phone * Work Phone Email * Date of Birth * Are you a Canadian citizen? * Choose One... Yes No (or Permanent Resident?) Social Insurance Number Street Number * Street Name * City * Province * Choose One... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Northwest Territories Nunavut Yukon Postal Code * Step 2: Employment Information Employment Status Choose One... Full Time Part Time Retired Student Self-Employed Unemployed Annual Income * (gross income before taxes) Employer Name * Job Title * Employment Length * Choose One... 1 2 3 4 5 6 7 8 9 10+ (years) Step 3: Financial Information Financing Required * (minimum $3,500) Additional Information How much is your rent / mortgage? * (per month) Comments I have read and agree to the Terms & Conditions * (will open in a new window) About CMC Consumer Lending Established in 2001, CMC has become one of Canada’s premiere and most trusted Consumer Credit and Medical Finance institutions. Why wait? Contact us today. Phone: (416) 593-1633 Toll Free: 1 (800) 270-9290 Fax: (416) 593-1685 Toll Free Fax: 1 (800) 274-1471 info@cmcconsumer.com 1200 Bay Street, Suite 202 Toronto, Ontario M5R 2A5