Your First Name Last Name

Your E-mail Address

Your Phone Number

Credit Union information as it will print on the materials:

Credit Union Name

Credit Union Street Address

Suite, Etc.

City, State, Zip

Credit Union's Website Address (URL)

Credit Union Phone Number

StretchPay program variables:

Loan Amount (check one)

Our Credit Union is offering a $250 loan only

Our Credit Union is offering both a $250 AND $500 option

Checking Account Requirement (check one)

Our credit union requires the borrower to have a checking account at our institution

Our credit union does not require the borrower to have a checking account at our institution

Package Style (check one)

Photo-based materials

Illustration-based materials

Marketing pieces to include (choose any/all that you'd like...no extra charge if you order them all at the same time):

Newsletter article

Statement Insert (8.5" x 3.5")

Teller Sign (8.5" x 11")

Brochure (letter size, bifold)

Direct mail postcard (9" x 6")