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Staff Referral
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Member Name
*
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Last
Member Phone
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Member Email
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Credit Union
FMCU
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Pre-Approval Amount
Is this a Fresh Start loan?
Loan Officer Name
What type of vehicle is your member interested in?
Make, Model, Year, Color, etc.
What is the time frame to purchase this vehicle?
Example...need a car ASAP today, 1-5 days or within a month.
Who's Referring This Member?
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Phone
Email
Email
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