2025-2026 Holiday Skip-a-Pay Form
Enter your details below. Please review Terms and Conditions in the email prior to signing. For questions, call your NCCYou Lending Team today at 218-279-3200 option 3.
Member Full Name
*
First
Last
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
Phone Number
*
Loan 1
Account Number and Suffix
*
Choose up to 2 months
*
Nov 2025
Dec 2025
Jan 2026
A $35 charge will be added to your loan balance for each month you choose to skip a pay, and if you choose to donate to the Children’s Miracle Network and additional $5 will be added for a total of $40
*
Please charge $35 to my loan balance for each month.
Please charge $40 to my loan balance for a $5 donation to Children's Miracle Network.
Loan 2 (if applicable)
Account Number and Suffix
Choose up to 2 months
Nov 2025
Dec 2025
Jan 2026
A $35 charge will be added to your loan balance for each month you choose to skip a pay, and if you choose to donate to the Children’s Miracle Network and additional $5 will be added for a total of $40
Please charge $35 to my loan balance for each month.
Please charge $40 to my loan balance for a $5 donation to Children's Miracle Network.
Loan 3 (if applicable)
Account Number and Suffix
Choose up to 2 months
Nov 2025
Dec 2025
Jan 2026
A $35 charge will be added to your loan balance for each month you choose to skip a pay, and if you choose to donate to the Children’s Miracle Network and additional $5 will be added for a total of $40
Please charge $35 to my loan balance for each month.
Please charge $40 to my loan balance for a $5 donation to Children's Miracle Network.
Borrower Signature
*
Joint Borrower Signature (if applicable)
Please verify that you are human
*
Submit
Submit
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