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First Name* Last Name* Phone #* Email

First Name* Last Name* Email* Phone #

RBFCU/CUSO Department*

Select One RBFCU Branch RBFCU Consumer Lending RBFCU Business Lending Preserve Title RB Insurance RB Wealth Management RB Investment

How can we help?* Select One Purchase a home or land Lower my interest rate Construction to permanent Take cash out/Home improvement

Loan Type Select One Conventional/Home Equity HELOC Veterans Administration (VA) Federal Housing Administration (FHA)

Estimated Sales Price or Property Value

How much would the member like to borrow?

Address: City: State: