Visa Credit Card
This information was provided by the applicant and submitted via e-mail or the Internet.
Applications will be reviewed and processed by:
Gil Quinones NMLS#779976
Health Care Idaho Credit Union NMLS#779976
208 W. Jefferson Street
Boise, ID 83702
You agree that everything stated in this application is correct to the best of your knowledge. The Credit Union is authorized to investigate your creditworthiness, employment history, and to obtain a credit report and to answer questions about their credit experience with you. You understand that any false or misleading statement in your application may cause any loan or extension of credit to be in default. You authorize us to accept your facsimile signatures on this application and agree that your facsimile signature will have the same legal force and effect as your original signature. You assume any risk that may be associated with permitting us to accept your facsimile signature.
By pressing the "Submit Application" button below, you agree to the above statement. You understand that we may require your signature on additional documents prior to disbursing any credit proceeds.