Payday Loan Application

Mid Cities Credit Union can help you get out of tight financial situations, without the hefty fees Payday Lenders typically charge. It’s a stress-free way to get quick cash.

NOTE TO FIRST-TIME USERS: If this your first time applying for a Payday loan, click here to complete a startup application. You need to complete your startup application before you can apply for a Payday Loan using this form. If you already have completed your startup application, you do not need to do so again. You may fill out this online form to complete your Payday Loan.

Please note all items marked with an asterisk (*) are required items.

Payday Loan App

Member Number(*)

Please enter your member number.

First Name(*)

Name must contain only a-z,A-Z characters

Last Name(*)

Name must contain only a-z,A-Z characters

Payroll Company Name

Please enter your payroll company's name

Amount Requested(*)

Please enter a dollar amount.

Does this amount include the fee?(*)

Yes

Please make your selection

Next direct deposit date?(*)

Please select a date

Phone Number(*)

Please enter your phone number in this format (xxx-xxx-xxxx).

When will you be in to pick up your check?(*)

Please select a date

What time?(*)

Please enter a time of day

Comments or questions?

Invalid Input

Are You a Human?(*)

Invalid Input