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Cardholder Service: 1.855.341.4643
Application Inquiries: 1.855.341.4643

FEATURED CARDS

CARDS
- Personal Cards
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BENEFITS

CARDHOLDER SUPPORT

Home / Credit Application

Visa Infinite* Card Credit Application

Information marked with an * is required to submit.

Tell Us About Yourself

Meets minimum requirements?

Yes No

First Name*

Middle Initial

Last Name*
Your first, middle and last name must be a total of no more than 21 characters.

Social Insurance Number (SIN)

Identification*

Identification Number*

Certificate Number*

Province of Issue*

Country of Issue*

Canadian Citizen or Permanent Resident?*

Yes No

Date of Birth*

Mother's Maiden Name*

Email Address*

Primary Phone*

Alternate Phone Number

Member Number

Residence

Address 1*

Address 2

City*

Province*

Postal Code*

Length of Time at Present Address?*

Years

Months

Monthly Housing Payment* $

Residence Status*

Employment Information

Employment Status*

Are you a student?

Yes No

Income Source*

Occupation*

Employer*

Gross Monthly Income* $

Work Phone

Length of Employment*

Years

Months

Length of Unemployment*

Years

Months

Co-Applicant

Do you intend to apply for joint credit?

Yes No

Does the co-applicant intend to apply for joint credit?

Yes No

Tell Us About the Co-Applicant

First Name*

Middle Initial

Last Name*
Your first, middle and last name must be a total of no more than 21 characters.

Social Insurance Number (SIN)

Date of Birth*

Mother's Maiden Name*

Identification*

Identification Number*

Certificate Number*

Expiry Date*

Province of Issue*

Country of Issue*

Is this the same address as primary applicant?

Address 1*

Address 2

City*

Province*

Postal Code*

Length of Time at Present Address?*

Years

Months

Monthly Housing Payment* $

Residence Status*

Co-Applicant Phone*

Email Address*

Member Number

Are you a current member of this institution?

Employment Information

Employment Status*

Occupation*

Employer*

Gross Monthly Income* $

Length of Employment*

Years

Months

Length of Unemployment*

Years

Months

Note: By adding a co-applicant, each applicant will have the right to use the account to the extent of the credit limit on the account and will be liable for all credit extended under the account to any co-applicant.

Balance Transfers

Would you like to transfer a balance?

Yes No

How many Balance Transfers would you like to make?

One Balance Transfer
Two Balance Transfers
Three Balance Transfers

First Balance Transfer

Lending Institution Name*

Amount to Transfer* $

Account Number*

Lending Institution Payment Address*

Lending Institution City*

Lending Institution Province*

Lending Institution Postal Code*

Second Balance Transfer

Lending Institution Name*

Amount to Transfer* $

Account Number*

Lending Institution Payment Address*

Lending Institution City*

Lending Institution Province*

Lending Institution Postal Code*

Third Balance Transfer

Lending Institution Name*

Amount to Transfer* $

Account Number*

Lending Institution Payment Address*

Lending Institution City*

Lending Institution Province*

Lending Institution Postal Code*

Authorized User 1

Would you like to add an Authorized User?*

Yes No

First Name*

Middle Initial

Last Name*

Mother's Maiden Name*

Date of Birth*

Social Insurance Number (SIN)

Member Number

Authorized User 2

Would you like to add an Authorized User?*

Yes No

First Name*

Middle Initial

Last Name*

Mother's Maiden Name*

Date of Birth*

Social Insurance Number (SIN)

Member Number

Additional Information

Referred By

Are you an employee of the financial institution?

Yes No

Employee ID

Branch

Applicant Notes

Balance Protection

Yes - I am interested in learning more about Balance Protection Insurance. I understand that I will be contacted to receive more information about this coverage, and I can enroll at that time. I acknowledge that I will not have coverage until the enrollment process is completed.

Opt In

I consent to receiving promotional emails from Collabria Financial Services Inc.

Consent can be withdrawn at any time by contacting Collabria by phone at 1.855.341.4643, by mail at PO Box 82029 RPO Connaught, Calgary, AB T2R 0X1 or by email at info@collabriacreditcards.ca.

Miscellaneous

Would you like to opt-in to receive eStatements?

Would you like to opt-in to receive direct marketing communications regarding your credit card program?

Terms & Conditions

Please use the scroll bar on the right to view the entire Terms and Conditions. If you are unable to view the following Terms and Conditions, please click here. Print

Terms and Conditions

Declaration

I agree with the following:*

Everything I have stated in my application is true and correct.
My personal credit history is clear of bankruptcies within the past 36 months.
I have read and understand that I am applying for a variable rate product. The Annual Interest Rate is based on the prime rate plus an additional interest rate and is subject to change if the prime rate changes.
I have read and agree to all the pricing and other terms in the Terms and Conditions and here.
The terms of my account are subject to change.
I consent to the collection of device-identifying data by a trusted partner.
I acknowledge that any owner of the account, its servicers, successors and assigns, may verify or reverify any information contained in this application or obtain any information or data relating to the account, for any legitimate business purpose through any source, including a source named in this application or a consumer reporting agency.

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APPLICATION INQUIRIES

Phone: 1.855.341.4643

Email: info@collabriacreditcards.ca

CURRENT CARDHOLDERS
24/7 Cardholder Service

Canada and U.S.: 1.855.341.4643
International Collect: 1.647.252.9564

Lost or Stolen Cards
Canada and U.S.: 1.855.341.4643
International Collect: 1.647.252.9564

Email: info@collabriacreditcards.ca

Please note that this email is not secure; it is for general inquiry only. Do NOT include your account information. If you have a specific question about your account, please call Cardholder Service.

MAILING INFORMATION:

Cardholder Service
Collabria
PO Box 82029 RPO Connaught
Calgary, Alberta T2R 0X1

Visa Payment Address
Collabria
CP 6417 SUCC Centre Ville
Montréal, Quebec H3C 3L4

Mastercard Payment Address
Collabria
CP 6300 SUCC Centre Ville
Montréal, Quebec H3C 3L2

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®The Collabria Mastercard is issued by Collabria Financial Services Inc. pursuant to a license from Mastercard International Incorporated. Mastercard is a registered trademark and the circles design is a trademark of Mastercard International Incorporated.

The Collabria Visa Card is issued by Collabria Financial Services Inc. pursuant to a license from Visa. *Trademark of Visa Int., used under license.