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Membership Application for a PayDayHawaii Micro-Credit Account (Customers with a Micro-Credit Account may go directly to Virtual Check.) When applying for Micro-Credit please have ready, your most recent pay-stub or benefit statement, your most recent bank statement, your unexpired state issued drivers license or Hawaii State ID, your most recent phone bill or text capable cell phone. PayDayHawaii's Micro-Credit Advance is only available to residents of the State of Hawaii. Call 808.822.5115 to find a location near you or go to our locations list.

Personal Information
Employment Information
**Applications from ACTIVE DUTY MILITARY and DEPENDENTS not accepted.
Bank Information
Savings -or-  Checking
Landloard and Mortgage Company
Own  Rent
References
Signature
I certify the information provided on this form is true and correct and I authorize the verification of this information. If my Micro-Credit Account is approved, I agree to notify PayDayHawaii promptly of any change to this information. I AM NOT a regular or reserve member of the Army, Navy, Marine Corps, Air Force, or Coast Guard, serving on active duty under a call or order that does not specify a period of 30 days or fewer (or a dependent of such a member). Warning: It is important to fill out this form accurately. Knowingly making a false statement on a credit application is a crime.

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