Digital Nomad Service Application Form

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Are you currently, or do you want to become, a digital nomad?

Yes, already am Want to become one Not interested

Do you intend to travel outside the United States?

Yes No

When is your desired travel start date?

Do you understand that this program currently only facilitates loans of $15,000 or more?

Yes No

Will you be working during your travels?

Yes No

What is the maximum amount you could contribute to your travel budget (% of the total loan amount)?

0%-10% 10%-25% 25%-50% Over 50%

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I am looking to secure travel financing and understand I am submitting my personal information to receive travel-financing consultation from this program.

I agree

I agree the information provided here is correct and authorize this program to share my data with qualified lenders for a subjective creditworthiness evaluation.

I agree

The applicant shall hold this program harmless from all damages, costs, claims, and expenses arising from its performance as a facilitator, including attorney's fees.

I agree

I, the undersigned applicant, consent to and understand the questions posed within this form.

Sign here

Digital Nomad Service Application Form

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