Personal Information
Your Name
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Email
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Phone #
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May we text you at this number? *
Yes
No
Are you a member of Element? *
Yes
No
Appointment Purpose
(check all that apply)
Loan Application
New Personal Membership
Improve Credit Score/History
New Business/Organization Account
Join our PEEPs!
List other topics you'd like to discuss during your appointment.
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Preferred Appointment Date
Monday - Friday (excluding federal holidays)
Enter Date
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Preferred Appointment Time
Appointment times begin at 8:30 am and end at 4:00 pm ET
Enter Time
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Preferred Appointment Location
Kanawha City - in person
South Charleston - in person
The Element Edge - in person
Zoom - virtual meeting
Thank You!
We'll be in touch soon to follow up with your appointment.