Express Loan Application

Please provide all of the requested information. When you have completed the application, press the Submit button to send it to Mid American Credit Union.

This is an application for INDIVIDUAL CREDIT.

This is an application for JOINT CREDIT. Please enter the initials of both applicants to indicate agreement of a joint credit application: Applicant 1:   Applicant 2:

 

Name:
Account #:
Daytime Phone:
Evening Phone:
Email:
 
Amount of Loan:
 
Purpose of Loan:
 
Current Employer:
Employer Phone:
Joint Applicant Name:
Joint Applicant's
Soc. Sec. #:
* Monthly Income for Primary Applicant
* Monthly Income for Joint Applicant
Monthly Mortgage or Rent Payment    

*Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this loan.


         

After processing, a loan officer will follow up with you for any additional information needed to complete the application.

Mid American Credit Union8404 West Kellogg DriveWichita, KS 67209316.722.3921Fax 316.722.0920