By completing the following loan application, you are authorizing the credit union to obtain a credit report and check your employment history.
Are you a member of the credit union?
Is the address the credit union has correct?
Individual or joint application?
Type of loan
If vehicle, list year, make, model and mileage:
Amount you wish to borrow:
Desired monthly payment:
Years employed with current employer:
Your annual income before taxes:
Co-applicant's annual income before taxes:
Additional income and source:
Monthly mortgage or rent payment:
Total monthly payments on outstanding loans:
Do you wish to open a Visa Credit Card?
Do you wish to open an EZ Access Line of Credit?
Interested in Route 66 Mechanical Protection?
Phone number you would like us to contact you at:
Best time to contact you: