Our Mission
To provide the chiropractic family with a member-owned financial institution that invests in the promotion of chiropractic through the support of the members' business and personal financial needs.
We're safe, we're sound, we support chiropractic!

1-800-422-6424
23617 Liberty Farmington, MI 48335-3530





















                       

                      

 

 

 

 

 

 

 

 

Credit Union Loan Application

Please note -- this form is not currently transmitted through a secure server.  If you do not feel comfortable submitting information online in such a manner, please contact US for a hard-copy application.  The CFCU is not responsible for information transmitted electronically.  This mini-application is intended for use by our members to apply for consumer loans only.  Also we may need additional information from you.  If so, we will contact you upon receipt of this application.

Purpose of loan  
Number of payments  
Credit amount requested  $ .00
Check here if you like credit life and / or disability coverage for this loan

Primary Applicant Information

Name 
Account Number
Social Security Number
Birthdate
Home Address
City
State
Zip Code
Home Phone
Mortgage/Rent (per month)
Monthly Income
Employer/Your Clinic Name
Employer's Address
City
State
Zip Code
Work Phone
Length of Employment
Personal Reference:  Name
Relationship
 Reference's Address
City
State
Zip Code
Reference's Phone Number

Co-Applicant's Information

Name
Social Security Number
Address
City
State
Zip Code
Phone Number
Birthdate
Employer
Length of Employment
Monthly Salary
Employer's Address
City
State
Zip Code

If there are any important changes, you will notify us in writing immediately.  You also agree to notify us of any change in your name, address or employment within reasonable time thereafter.  You also promise that everything you have stated in this application is correct to the best of your knowledge.  You authorize the credit union to obtain credit reports in connections with this application for credit and for any update, renewal or extension of the credit received.  If you request, the credit union will tell you the name address of any credit bureau form which it received a credit report on you. You understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to federal credit unions insured by NCUA.

   

We support the Michigan Association of Chiropractors

Last modified: June 23, 2008
If you have questions about this web site, please contact cfcu@chirofcu.org
This site designed by Dr. Dan Spencer (Hudson, Michigan)   www.healthchiro.com

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