REFRESH SECURED CREDIT AGREEMENTRefresh Secured Credit Agreement • November 3rd, 2021
Contract Type FiledNovember 3rd, 2021CUSTOMER INFORMATION & AGREEMENT By signing this Agreement, I, as the Customer acknowledge having (i) received and read the entire Agreement, (ii) accepted the Agreement’s terms and conditions, (iii) agreed to enter into the Cardholder Agreement with the Card Issuer in order to access the Credit Facility and (iv) agreed to the fees detailed below. Customer First Name: Customer Middle Name: Customer Last Name: Customer Phone Number (Home): Customer Phone Number (Work or other): Customer Street Address: City: Province: Postal Code: Customer Occupation: Customer Birthdate: Cell Phone Number: Customer Email: Customer's Signature: Date: