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<!DOCTYPE html><!-- HTML 5 -->
<html>
<head>
<meta charset="UTF-8">
<title>The Payday Hound Payday Loan Matching Service</title>
<meta name="description" content="Apply online to over 150 payday loan lenders with one simple application. Instant approvals and next day funding. Apply in private from home. "/>
<link rel="stylesheet" type="text/css" href="css/style.css" media="all" />
<link href="css/cal.css" rel="stylesheet" type="text/css" />
<script type="text/javascript" src="js/Validation.js"></script>
<script type="text/javascript" src="js/functions.js"></script>
<script language="javascript" src="js/tabbing.js"></script>
<!--[if lt IE 9]>
<script src="http://html5shiv.googlecode.com/svn/trunk/html5.js"></script>
<![endif]-->
<script type="text/javascript" src="http://resources.thepaydayhound.com/assets/application-ad0960f1326cf019ad89519dba014ac7.js"></script>
<!-- --------- Google Analytics subdomain ----------- -->
<script type="text/javascript">
var _gaq = _gaq || [];
_gaq.push(['_setAccount', 'UA-29737687-1']);
_gaq.push(['_setDomainName', 'thepaydayhound.com']);
_gaq.push(['_trackPageview']);
(function() {
var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true;
ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js';
var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s);
})();
</script>
<!-- --------- Google Analytics subdomain ----------- -->
</head>
<body onLoad="start_cal();init();">
<!-- header -->
<div id="container">
<div id="mainHeaderOutter">
<header id="mainHeader">
<div id="logo"><a href="http://www.thepaydayhound.com/" target="_blank"><img alt="logo" src="img/thepaydayhound-logo-transparent.png" /></a></div>
<div id="socialmediaicons">
<a href="http://www.thepaydayhound.com/feed" title="The Payday Hound Feed" target="_blank"><img alt="RSS Feed" src="img/rss.png" /></a>
<a href="http://www.facebook.com/thepaydayhound" title="The Payday Hound Facebook Page" target="_blank"><img alt="Facebook" src="img/facebook.png" /></a>
<a href="http://www.twitter.com/thepaydayhound" title="The Payday Hound Twitter Page" target="_blank"><img alt="Twitter" src="img/twitter.png" /></a>
<a href="https://plus.google.com/114318301384219988110" title="The Payday Hound Google Page" target="_blank"><img alt="Google +" src="img/googleplus.png" /></a>
</div>
<nav>
<div>
<ul>
<li><a href="http://www.thepaydayhound.com">Home</a></li>
<li><a href="https://www.thepaydayhound.com/payday-loan-apply">Apply Now</a></li>
<li><a href="http://tools.thepaydayhound.com/payday-loans">Payday Loans</a></li>
<li><a href="http://tools.thepaydayhound.com/installment-loans">Installment Loans</a></li>
<li><a href="http://www.thepaydayhound.com/resources" >Resources</a></li>
</ul>
</div>
</nav>
</header>
</div>
<!-- everything between header and footer -->
<div id = "wrapper">
<aside id ="sidebar">
<div id = "sidebarWhyPDH">
<h2>How This Works</h2>
<ul>
<li><a href="../how-this-works.html" onClick="window.open('how-this-works.html','','scrollbars=yes,width=500,height=350'); return false;">How This Works</a></li>
<li><a href="../faq.html" onClick="window.open('faq.html','','scrollbars=yes,width=500,height=500'); return false;">FAQ</a></li>
<li><a href="http://tools.thepaydayhound.com/why-use-the-payday-hound/">Why Use Us</a></li>
<li><a href="http://tools.thepaydayhound.com/why-use-the-payday-hound/">How We Make Money</a></li>
<li><a href="http://tools.thepaydayhound.com/why-use-the-payday-hound/">How Our Rankings Work</a></li>
</ul>
</div>
<div>
<img alt="Twitter" src="img/SSL_Seal.gif" style="margin: 40px 15px"/>
</div>
</aside>
<div id="content">
<h1>Apply Direct. No Obligation. 100% Free.</h1>
<p>Get emergency cash from the privacy of your own home. Fill out our simple, one-page application below. We review our network of ~150 lenders to find you a loan. If you accept the loan, funds can be deposited into your checking account within 24 hours.</p>
<p class="msBenefits">
<div class="msBenefitsLeft"><img src="img/check-mark.png" width="20" height="18"> No Faxing or Calls</div>
<div class="msBenefitsCenter"><img src="img/check-mark.png" width="20" height="18"> Must be 18 or Older</div>
<div class="msBenefitsRight"><img src="img/check-mark.png" width="20" height="18"> Private, Safe and Secure</div>
<div div="clearboth"></div>
<div class="msBenefitsLeft"><img src="img/check-mark.png" width="20" height="18"> Up to $1000 Cash in 24 Hours</div>
<div class="msBenefitsCenter"><img src="img/check-mark.png" width="20" height="18"> Instant Approvals</div>
<div class="msBenefitsRight"><img src="img/check-mark.png" width="20" height="18"> Free, No Obligation </div>
</p>
</br>
<div class="clearboth"></div>
<form action="process.php" method="post" id="applicant" name="applicant" onSubmit="return submit_form();">
<fieldset>
<div class="form-block">
<h2 class="applicationNameSubTitle">Name and Address</h2>
<p class="applicationLine">
<span class="w180 m-r-15">
<label>First Name</label>
<input type='text' maxlength=32 id="first_name" name="first_name" chkType="alpha" chkTitle="First Name" chkRequired=true tabindex ="1"/>
</span>
<span class="w180 m-r-15">
<label>Last Name</label>
<input type='text' maxlength=32 id="last_name" name="last_name" chkType="alpha" chkTitle="Last Name" chkRequired=true tabindex ="2"/>
</span>
<span class="w180 m-r-15">
<label>Email</label>
<input name="email" size="20" maxlength="70" id="email" value="" type="text" chkTitle="Email" chkRequired="true" chkMinLength="5" chkType="email" tabindex ="3"/>
</span>
<span class="w115">
<label>Own or Rent</label>
<select class="w-115" name="housing" id="housing" tabindex ="4">
<option value="rent" selected="selected">Rent</option>
<option value="own">Own</option>
</select>
</span>
</p>
<p class="applicationLine">
<span class="w255 m-r-15">
<label>Street Address</label>
<input type="text" class="w-244" maxlength=60 id="address" name="address" chkTitle="Address" chkRequired=true tabindex ="5"/>
</span>
<span class="w105 m-r-15">
<label>ZIP Code</label>
<input name="zip" type='text' id="zip" maxlength=5 chkTitle="Zip" chkRequired=true next="HomePhone1" tabindex ="6"/>
</span>
<span class="w46 m-r-15">
<label>Home Phone</label>
<input class="w-46 m-r-5" type="text" onChange="update_home_phone();" name="HomePhone1" maxlength="3" id="HomePhone1" value="" chkTitle="Home Phone (Part 1)" chkRequired="true" chkReqLength="3" chkType="num" next="HomePhone2" tabindex ="7"/>
<input class="w-46 m-r-5" type="text" onChange="update_home_phone();" name="HomePhone2" maxlength="3" id="HomePhone2" value="" chkTitle="Home Phone (Part 2)" chkRequired="true" chkReqLength="3" chkType="num" next="HomePhone3" tabindex ="8"/>
<input class="w-46" type="text" onChange="update_home_phone();" name="HomePhone3" maxlength="4" value="" id="HomePhone3" chkTitle="Home Phone (Part 3)" chkRequired="true" chkReqLength="4" chkType="num" next="months_at_residence" tabindex ="9"/>
<input name="home_phone" type="hidden" id="home_phone" />
</span>
<span class="w115">
<label>Time at Address</label>
<select class="w-115" name="months_at_residence" id="months_at_residence" tabindex ="10">
<option value="12">1 Year or less</option>
<option value="24">2 Years</option>
<option value="36">3 Years</option>
<option value="48">4 Years</option>
<option value="60">5 Years</option>
<option value="72">6 Years</option>
<option value="84">7 Years</option>
<option value="96">8 Years</option>
<option value="108">9 Years</option>
<option value="120">10+ Years</option>
</select>
</span>
</p>
<p class="applicationLine">
<span class="w46 m-r-15">
<label>Date of Birth</label>
<select class="w-56 m-r-5" onChange="update_birth_date();" name="BirthMonth" id="BirthMonth" chkRequired="true" chkMinLength="1" chkType="num" chkTitle="Birthday Month" tabindex ="11">
<option value="">MM</option>
<option value="1">Jan</option>
<option value="2">Feb</option>
<option value="3">Mar</option>
<option value="4">Apr</option>
<option value="5">May</option>
<option value="6">Jun</option>
<option value="7">Jul</option>
<option value="8">Aug</option>
<option value="9">Sep</option>
<option value="10">Oct</option>
<option value="11">Nov</option>
<option value="12">Dec</option>
</select>
<select class="w-56 m-r-5" onChange="update_birth_date();" name="BirthDay" id="BirthDay" chkRequired="true" chkMinLength="1" chkType="num" chkTitle="Birthday Day" tabindex ="12">
<option value="">DD</option>
<option value="1">01</option>
<option value="2">02</option>
<option value="3">03</option>
<option value="4">04</option>
<option value="5">05</option>
<option value="6">06</option>
<option value="7">07</option>
<option value="8">08</option>
<option value="9">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
<select class="w-56"; padding-left: 1px; onChange="update_birth_date();" name="BirthYear" id="BirthYear" chkRequired="true" chkMinLength="1" chkType="num" chkTitle="Birthday Year" tabindex ="13">
<option value="">YYYY</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
<option value="1951">1951</option>
<option value="1950">1950</option>
<option value="1949">1949</option>
<option value="1948">1948</option>
<option value="1947">1947</option>
<option value="1946">1946</option>
<option value="1945">1945</option>
<option value="1944">1944</option>
<option value="1943">1943</option>
<option value="1942">1942</option>
<option value="1941">1941</option>
<option value="1940">1940</option>
<option value="1939">1939</option>
<option value="1938">1938</option>
<option value="1937">1937</option>
<option value="1936">1936</option>
<option value="1935">1935</option>
<option value="1934">1934</option>
<option value="1933">1933</option>
<option value="1932">1932</option>
<option value="1931">1931</option>
<option value="1930">1930</option>
<option value="1929">1929</option>
<option value="1928">1928</option>
<option value="1927">1927</option>
<option value="1926">1926</option>
<option value="1925">1925</option>
<option value="1924">1924</option>
<option value="1923">1923</option>
<option value="1922">1922</option>
<option value="1921">1921</option>
<option value="1920">1920</option>
<option value="1919">1919</option>
<option value="1918">1918</option>
<option value="1917">1917</option>
<option value="1916">1916</option>
<option value="1915">1915</option>
<option value="1914">1914</option>
<option value="1913">1913</option>
<option value="1912">1912</option>
<option value="1911">1911</option>
</select><input type="hidden" id="birth_date" name="birth_date" />
</span>
<span class="w46 m-r-15">
<label>SSN: (e.g. 123456789)</label>
<input type="text" class="w-46 m-r-5" maxlength="3" onChange="update_ssn();" name="ssn1" id="ssn1" value="" chkTitle="Social Security Number (Part 1)" chkRequired="true" chkReqLength="3" chkType="num" next="ssn2" tabindex ="14"/>
<input type="text" class="w-46 m-r-5" maxlength="2" onChange="update_ssn();" name="ssn2" id="ssn2" value="" chkTitle="Social Security Number (Part 2)" chkRequired="true" chkReqLength="2" chkType="num" next="ssn3" tabindex ="14"/>
<input type="text" class="w-46" onChange="update_ssn();" name="ssn3" maxlength="4" value="" id="ssn3" chkTitle="Social Security Number (Part 3)" chkRequired="true" chkReqLength="4" chkType="num" next="driving_license_number" tabindex="16"/>
<input name="social_security_number" type="hidden" id="social_security_number" />
</span>
<span class="w180 m-r-15">
<label>Driver's Licence / State ID #</label>
<input name="driving_license_number" value="" id="driving_license_number" type="text" chkTitle="Driver's License Number" chkRequired="true" chkMinLength="5" next="driving_license_state" tabindex="17"/>
</span>
<span class="w115">
<label>Issuing State</label>
<select class="w-115" id="driving_license_state" name="driving_license_state" tabindex = "18">
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">Dist of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option> </select>
</span>
</p>
<h2 class="applicationSubTitle">Source of Income</h2>
<p class="applicationLine">
<span class="w180 m-r-15">
<label>Montly Income</label>
<select class="w-180" id="monthly_income" name="monthly_income" tabindex = "19">
<option value="750">Less than $750</option>
<option value="1000">$751-$1000</option>
<option value="1250">$1001-$1250</option>
<option value="1470">$1251-$1470</option>
<option value="1750">$1471-$1750</option>
<option value="2000">$1751-$2000</option>
<option value="2250">$2001-$2250</option>
<option value="2500">$2251-$2500</option>
<option value="2750" selected="selected">$2501-$2750</option>
<option value="3000">$2751-$3000</option>
<option value="3250">$3001-$3250</option>
<option value="3500">$3251-$3500</option>
<option value="3750">$3501-$3750</option>
<option value="4000">$3751-$4000</option>
<option value="4250">$4001-$4250</option>
<option value="4500">$4251-$4500</option>
<option value="4750">$4501-$4750</option>
<option value="5000">$4751-$5000</option>
<option value="5250">$5001-$5250</option>
<option value="5500">$5251-$5500</option>
<option value="5750">$5501-$5750</option>
<option value="6000">$5751-$6000</option>
<option value="6001">More than $6000</option>
</select>
</span>
<span class="w115 m-r-15">
<label>Income source</label>
<select class="w-115" id="income_type" name="income_type" tabindex = "20">
<option value="employment" selected="selected">Employment</option>
<option value="benefits">Benefits</option>
</select>
</span>
<span class="w115 m-r-15">
<label>Pay Period</label>
<select class="w-115" name="pay_period" tabindex = "21">
<option value="weekly">Weekly</option>
<option value="biweekly" selected="selected">Bi-Weekly</option>
<option value="twice_monthly">Twice Monthly</option>
<option value="monthly">Monthly</option>
</select>
</span>
<span class="w215 m-r-15">
<label>Next Payday</label>
<select size="1" name="pd1m" id="pd1m" onchange="update_next_pay_date();" class="w-56 m-r-5" tabindex = "22">
<option value="1">Jan</option>
<option value="2">Feb</option>
<option value="3">Mar</option>
<option value="4">Apr</option>
<option value="5">May</option>
<option value="6">Jun</option>
<option value="7">Jul</option>
<option value="8">Aug</option>
<option value="9">Sep</option>
<option value="10">Oct</option>
<option value="11">Nov</option>
<option value="12">Dec</option>
</select>
<select size="1" name="pd1d" id="pd1d" onchange="update_next_pay_date();" class="w-56 m-r-5" tabindex = "23">
<option value="01">1</option>
<option value="02">2</option>
<option value="03">3</option>
<option value="04">4</option>
<option value="05">5</option>
<option value="06">6</option>
<option value="07">7</option>
<option value="08">8</option>
<option value="09">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
<select size="1" name="pd1y" id="pd1y" onchange="update_next_pay_date();" class="w-56">
</select><span class="calendar"><img src="img/calendar-bg.gif" border="0" alt onClick="openCal();" style="cursor:pointer;" ></span>
</span>
<div class="main_cal" style=" overflow: visible;z-index: 100; top: 15px; left: 240px;" id="calender_div" onMouseOver="close_cal=false;" onMouseOut="close_cal=true;"> </div>
</p>
<p class="applicationLine">
<span class="w255 m-r-15">
<label>Name of Employer/Company</label>
<input type="text" name="employer" value="" maxlength="25" id="employer" chkTitle="employer Name" chkRequired="true" chkMinLength="4" tabindex = "23"/>
</span>
<span class="w46 m-r-15">
<label>Work Phone</label>
<input type="text" class="w-46 m-r-5" onChange="update_work_phone();" maxlength="3" name="EmployerPhone1" id="EmployerPhone1" chkTitle="Work Phone (Part 1)" chkRequired="true" chkReqLength="3" chkType="num" next="EmployerPhone2" value="" tabindex = "24"/>
<input type="text" class="w-46 m-r-5" onChange="update_work_phone();" maxlength="3" name="EmployerPhone2" id="EmployerPhone2" chkTitle="Work Phone (Part 2)" chkRequired="true" chkReqLength="3" chkType="num" next="EmployerPhone3" value="" tabindex = "25"/>
<input type="text" class="w-46" onChange="update_work_phone();" maxlength="4" name="EmployerPhone3" id="EmployerPhone3" chkTitle="Work Phone (Part 3)" chkRequired="true" chkReqLength="4" chkType="num" value="" next="active_military2" tabindex = "26"/>
<input name="work_phone" type="hidden" id="work_phone" />
</span>
<span class="w235">
<label>U.S. Military</label>
<input type="radio" id="active_military1" name="active_military" value="true" />
<span class="radio-label">YES</span>
<input type="radio" id="active_military2" name="active_military" value="false" checked="checked" tabindex = "27" />
<span class="radio-label">NO</span>
<span class="text-wrap">Active Duty, Active Duty Spouse or Dependent</span>
</span>
</p>
<h2 class="applicationSubTitle">Deposit Details</h2>
<p class="applicationLine">
<span class="w310 m-r-15">
<label>Name of Bank</label>
<input name="bank_name" value="" id="bank_name" type="text" chkTitle="Bank Name" chkRequired="true" chkMinLength="2" tabindex = "28"/>
</span>
<span class="w180 m-r-15 w-180">
<label>Routing Number:<span class="tip"><a href="#" onclick="window.open('check.html','', 'height=560, width=600'); return false;">?</a></span></label>
<input name="routing_number" id="routing_number" maxlength="9" value="" chkTitle="Bank Routing Number" chkRequired="true" chkMinLength="9" chkType="num" type="text" next="account_number" tabindex = "29" />
</span>
<span class="w180">
<label>Months With Bank</label>
<select class="w-180" name="months_with_bank" id="months_with_bank" tabindex = "30">
<option value="12">1 Year or less</option>
<option value="24">2 Years</option>
<option value="36">3 Years</option>
<option value="48">4 Years</option>
<option value="60">5 Years</option>
<option value="72">6 Years</option>
<option value="84">7 Years</option>
<option value="96">8 Years</option>
<option value="108">9 Years</option>
<option value="120">10+ Years</option>
</select>
</span>
</p>
<p class="applicationLine">
<span class="w147 m-r-15">
<label>Bank Account Type</label>
<select id="account_type" name="account_type" class="w-147" tabindex = "31">
<option value="checking" selected="selected">Checking Account</option>
<option value="saving">Savings Account</option>
</select>
</span>
<span class="w147 m-r-15">
<label>Direct Deposit</label>
<select name="direct_deposit" class="w-147" tabindex = "32">
<option value="true">Direct Deposit</option>
<option value="false">Paper Check</option>
</select>
</span>
<span class="w180 m-r-15">
<label>Account Number:<span class="tip"><a href="#" onclick="window.open('check.html','', 'height=560, width=600'); return false;">?</a></span></label>
<input name="account_number" value="" id="account_number" type="text" chkTitle="Account Number" chkType="num" chkRequired="true" chkMinLength="4" tabindex = "33"/>
</span>
<span class="w180">
<label>Requested Loan Amount</label>
<select class="w-180" id="requested_loan_amount" name="requested_loan_amount" tabindex = "34">
<option value="100">$100</option>
<option value="200">$200</option>
<option value="300" selected="selected">$300</option>
<option value="400">$400</option>
<option value="500">$500 or more</option>
</select>
</span>
<input type="hidden" name="months_employed" id="months_employed" value="12" />
</p>
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