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Please fill out this form, print a copy and forward it to Badger Globe Credit Union via fax at 920-722-5742 or via mail 260 N Green Bay Road Neenah, WI 54956.

Loan Information
Amount requested
Purpose
Payment or term requested
See our calculators for payment information
Personal Information
Your Name:
Social Security Number:
Marital Status: Complete only if you are a Wis. resident or are applying for secured credit	Married Unmarried (includes single, widowed and divorced)
	* If you are married and living in Wisconsin and applying for individual credit or credit with someone other than your spouse, you must still include all information about your spouse. Please have your co-Applicant fill out a separate Loan Request Form and mail both back to the credit union. Thank you.
Birth date
Street Address:
City:
State:
Zip:
Home Phone Number:
Employment Information
Work Phone Number:
Employer name:
Position:
Gross monthly pay:
Other income	Note: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
	Balance	Monthly Payment
Rent or Mortgage
Spouse Information Complete if you and your spouse are WI residents. (if you are unmarried, please skip down)
Spouse Name:
Social Security Number:
Marital Status:	Married Unmarried (includes single, widowed and divorced)
	* If you are married and living in Wisconsin and applying for individual credit or credit with someone other than your spouse, you must still include all information about your spouse. Please have your co-Applicant fill out a separate Loan Request Form and mail both back to the credit union. Thank you.
Birthdate
Street Address:
City:
State:
Zip:
Home Phone Number:
Spouse's Employment Information
Work Phone Number:
Employer name:
Position:
Gross monthly pay:
Other income	Note: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Submission Information
Any comments or questions you may have for us? Email Address: How should we get in touch with you? Signature(s): _____________________________________________ Please fill out this form, print a copy and forward it to Badger Globe Credit Union credit union via fax at #920-722-5742 or via mail 260 N Green Bay Road Neenah, WI 54956. By signing this application, I/We certify that this information has been supplied truthfully, accurately and voluntarily, and therefore authorize Badger Globe Credit Union to investigate our creditworthiness, credit history and financial responsibility through any credit bureau or by any other reasonable means for consideration for the loan applied for, or for any other services offered. This application does not constitute a contract for the extension of credit. Thank You. Upon receipt of this application, someone at Badger Globe Credit Union will review your information and get back to you to extend credit or with additional questions or to request further information. We appreciate this opportunity to be your financial partner.