Members CU Loan Questionnaire

Members CU Loan Questionnaire
Name*

First Name/ Primer NombreLast Name/ Apellido
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Relationship with Members Credit Union?*

Existing MemberNon-Member
If non-member do you live, work or worship in Fairfield county? (please specify)

LiveWorkWorshipAttend SchoolDirect- Family Member Relationship
If non-member, which of the following do you have?

Social Security NumberTax ID NumberI have neither of these
What type of loan are you applying for? Mark all that apply!*

Auto PurchaseAuto RefinanceAuto Lease BuyoutRecreational Vehicle PurchaseRefinance MortgageHome Equity Line of CreditHome Equity Fixed LoanCredit CardPersonal LoanDebt ConsolidationBuild CreditRebuild Credit
Tell me a little about the loan(s) you would like to apply for.*
How did you hear about us?*

WebsiteGoogleFacebookReferred by a member
When is the best time(s) to contact you?*

MorningAfternoonAnytime
Should be Empty: