Member Detail Form

Our member information form is a fast and easy way to document member information.

(* Required items)

Credit Union Information

Submitting Credit Union
Referred by CU Employee
CU Employee Email

Borrower Information

Borrower first name last name
Co-borrower first name last name
Current Home Address street
city state zipcode
Do you rent or own your current home? Rent Own
Marital Status
Are you a U.S. Citizen? Yes No
Borrower Email
Borrower's Phone Number
Co-borrower's Phone Number
Is the Borrower self-employed? Yes No
Does the Borrower own rental property? Yes No
Is the Co-borrower self-employed? Yes No
Does the Co-borrower own rental property? Yes No

Subject Property Information

Purpose of Loan
Property Usage
Property Type
Loan Product
Rate Quoted %
Subject Property Address
Same as Home  
street
city California zipcode