Payday Loan Application

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.

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? (*)
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

Please again the letter again.

Enter the letters in black to submit your application.