AFS Membership Request

Request for Membership Consideration

Submitting this request does not guarantee acceptance or account activation.
Select Membership *
Confirm the membership tier you are Requesting.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Time at Current Address*

I understand this submission is a request for membership consideration only and does not constitute enrollment, approval, or account activation.

I understand no account activity will be reported to any consumer reporting agency unless I am approved, complete all required agreements, and activate my membership.

I authorize Ascend Financial Solutions to review the information I submit for eligibility and compliance purposes.

Ascend Financial Solutions administers service-based membership offerings that may involve structured payment obligations. Membership acceptance is subject to review, approval, and execution of required agreements. Submitting this request does not guarantee acceptance, reporting, or outcomes.
Full Legal Name*
Signature*

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Signature Date*

MonthDayYear
Date
By typing my name above, I acknowledge that I am electronically signing this application and affirm that all information provided is true and complete to the best of my knowledge.
Thank you for submitting Choosing Ascend Financial Solutions LLC.

Our team will review your information and contact you if additional documentation is required. Membership decisions are typically communicated within 1–3 business days.

Please note that submitting a request for membership does not guarantee approval.
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Request for Membership Consideration