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Apply For a Loan Form

Loan Application

You can apply for a loan online by filling out the preliminary information below.


 

    Fields marked with * are required

    Loan Type:*

    Amount Requested:*

    min:1000 max:100000

    Term:*

    Your First Name*

    Your Last Name*

    Your Street Address*

    Your Street Address Line 2*

    Your City*

    Your State / Province / Region *

    Your ZIP / Postal Code *

    Your Country *

    Your Email*

    Your Phone*

    Own or Rent *

    Current Employer *

    Monthly Income:*

    min:100 max:10000

    Comments (optional)

    Terms*
    By submitting this form, you authorize us to check your account, credit report (from a third party agency), and/or employment history to verify eligibility for the accounts and services you request.


    Mountain Valley (Peru) Federal Credit Union
    700 Bear Swamp Rd.
    PO Box 565
    Peru, NY 12972

    Phone:
    (518) 643-9915 (Main Office)
    (518) 643-8903 (Fax)


    Instructions

     

     

     


    SECURITY NOTICE

    Do not send sensitive information via this form or by email. Sensitive information includes Usernames, Passwords, Social Security Number, Date of Birth, Card Numbers, Account Numbers or any other information that could be considered confidential.