- Cash in 24 Hours - Overnight PayDay Loans

<div align="center"> <div id="all"> <div id="header"></div> <div id="edit"> <div id="arrow"></div> <div id="left_col"> <div class="box1"> <img src="images/box_1.gif" alt="Payday loans with no faxing, no credit checks, bad credit is ok" /></div> <div class="box2"> <img src="images/box_2.gif" alt="One form will grant access to multiple payday loan lenders" /></div> <div class="box3"> <img src="images/box_3.gif" alt="Our website is SSL secured" /></div> <div class="box4"><div class="content"> <div class="hdr">Customer Testimonials</div> <ul> <li> <br /> I got the cash I needed deposited to my account the same day I applied.<span class="style1">-Ken, OH</span> </li> <li>My car broke down and I needed cash FAST. You guys really came through. I applied on Thursday and had the money on Friday! <br /><span class="style1">-Roger, WI</span> </li> <li>You guys are the BEST! I needed an advance to buy my girlfriend a gift and I got it in ONE day. Super easy. <span class="style1">-Alex, CA</span> </li> <li> Fast service, friendly staff, and I got my cash overnight, what more could I ask for? <span class="style1">-Susan, NY</span> </li> <li> I needed cash fast to fix my car and you guys saved me. I won't forget it. Thank you! <span class="style1">-Rachel, CA</span> </li> </ul> </div></div> </div> <div id="right_col"> <div align="right">Powered by SecureRights <a href="http://www.securerights.org" onclick="window.open('http://www.securerights.org','contact','toolbar=no,menubar=no,location=no,scrollbars=yes,width=650,height=550');return false;" target="_blank"><img src="images/lock.gif" alt="SecureRights - Data Encrypted" width="12" height="14" border="0" /></a></div> <div class="btn_1"><center><img src="images/btn_1.gif" alt=" " /></center></div> <form method="POST" name="AppForm" action="process/process.php" onSubmit="return CheckForm(this,'full');"> <div class="form"> <input type="hidden" name="SRLP" value="none" /> <table border="0" cellpadding="0" cellspacing="0"> <tbody><tr> <td valign="top"><table width="449" align="center" cellpadding="3" id="AlignLeft"> <tbody> <tr> <td><h1>Your Personal Information:</h1><table width="100%" border="0" cellpadding="0" cellspacing="3"> <tr> <td width="116">First Name:<br /> <input name="firstname" size="15" maxlength="25" id="firstname" value="" type="text" chkTitle="First Name" chkRequired="true" chkType="alpha" chkMinLength="2" /></td> <td width="98">Last Name:<br /> <input name="lastname" size="15" maxlength="25" id="lastname" value="" type="text" chkTitle="Last Name" chkRequired="true" chkType="alpha" chkMinLength="2" /></td> <td width="213">Street Address:<br /> <input name="address" size="25" maxlength="70" id="address" value="" type="text" chkTitle="Street Address" chkRequired="true" chkMinLength="2" /></td> </tr> <tr> <td>Zip Code:<br /> <input name="Zip" value="" size="5" maxlength="5" id="zip" type="text" chkTitle="Zip Code" chkRequired="true" chkMinLength="5" chkType="num" /></td> <td>Home Phone:<br /><input name="HomePhone1" size="1" maxlength="3" id="HomePhone1" value="" chkTitle="Home Phone (Part 1)" chkRequired="true" chkReqLength="3" chkType="num" next="HomePhone2" /><input name="HomePhone2" size="1" maxlength="3" id="HomePhone2" value="" chkTitle="Home Phone (Part 2)" chkRequired="true" chkReqLength="3" chkType="num" next="HomePhone3" /><input name="HomePhone3" size="2" maxlength="4" value="" id="HomePhone3" chkTitle="Home Phone (Part 3)" chkRequired="true" chkReqLength="4" chkType="num" next="housing" /></td> <td>Do you own or rent?<br /> <select name="housing" id="housing"> <option value="rent" selected="selected">Rent</option> <option value="own">Own</option> </select></td> </tr> <tr> <td><br /> Email:<br /> <input name="email" size="20" maxlength="70" id="email" value="" type="text" chkTitle="Email" chkRequired="true" chkMinLength="5" chkType="email" /></td> <td >Time At Residence:<br /> <select size="1" name="residenceyrs" id="residenceyrs"> <option value="1">1 Year or less</option> <option value="2">2 Years</option> <option value="3">3 Years</option> <option value="4">4 Years</option> <option value="5">5 Years</option> <option value="6">6 Years</option> <option value="7">7 Years</option> <option value="8">8 Years</option> <option value="9">9 Years</option> <option value="10">10+ Years</option> </select> </td> <td><br /> Mother's Maiden Name:<br /> <input name="mothersmaiden" size="15" maxlength="25" id="mothersmaiden" value="" type="text" chkTitle="Mother's Maiden Name" chkRequired="true" chkType="alpha" chkMinLength="2" /></td> </tr> <tr> <td><a href="http://www.securerights.org" onclick="window.open('http://www.securerights.org','contact','toolbar=no,menubar=no,location=no,scrollbars=yes,width=650,height=550');return false;" target="_blank"><img src="images/lock.gif" alt="SecureRights - Data Encrypted" width="12" height="14" border="0" /></a> Social Security#: <br /> <span class="style2">(<u>must be accurate</u>)</span><br /> <input type="text" name="SSN1" size="3" maxlength="3" value="" chkTitle="Social Security Number (Part 1)" chkRequired="true" chkReqLength="3" chkType="num" next="SSN2" /><input type="text" chkTitle="Social Security Number (Part 2)" chkRequired="true" chkReqLength="2" chkType="num" name="SSN2" next="SSN3" size="2" maxlength="2" value="" /><input type="text" chkTitle="Social Security Number (Part 3)" chkRequired="true" chkReqLength="4" chkType="num" name="SSN3" next="DriversLicenseNumber" size="4" maxlength="4" value="" /></td> <td>Driver License #<br /> or State ID:<br /> <input name="DriversLicenseNumber" value="" size="15" id="DriversLicenseNumber" type="text" chkTitle="Driver's License Number" chkRequired="true" chkMinLength="5" /> </td> <td><br /> State Issued:<br /> <select id="DriversLicenseState" name="DriversLicenseState"> <option value="" selected="selected">Choose</option> <option value="AK">AK</option> <option value="AL">AL</option> <option value="AR">AR</option> <option value="AZ">AZ</option> <option value="CA">CA</option> <option value="CO">CO</option> <option value="CT">CT</option> <option value="DC">DC</option> <option value="DE">DE</option> <option value="FL">FL</option> <option value="GA">GA</option> <option value="HI">HI</option> <option value="IA">IA</option> <option value="ID">ID</option> <option value="IL">IL</option> <option value="IN">IN</option> <option value="KS">KS</option> <option value="KY">KY</option> <option value="LA">LA</option> <option value="MA">MA</option> <option value="MD">MD</option> <option value="ME">ME</option> <option value="MI">MI</option> <option value="MN">MN</option> <option value="MO">MO</option> <option value="MS">MS</option> <option value="MT">MT</option> <option value="NC">NC</option> <option value="ND">ND</option> <option value="NE">NE</option> <option value="NH">NH</option> <option value="NJ">NJ</option> <option value="NM">NM</option> <option value="NV">NV</option> <option value="NY">NY</option> <option value="OH">OH</option> <option value="OK">OK</option> <option value="OR">OR</option> <option value="PA">PA</option> <option value="RI">RI</option> <option value="SC">SC</option> <option value="SD">SD</option> <option value="TN">TN</option> <option value="TX">TX</option> <option value="UT">UT</option> <option value="VA">VA</option> <option value="VT">VT</option> <option value="WA">WA</option> <option value="WI">WI</option> <option value="WV">WV</option> <option value="WY">WY</option> </select> </td> </tr> <tr> <td colspan="2">Birthdate:<br /> <select size="1" name="BirthMonth" id="BirthMonth"> <option value="">Month</option> <option value="01" selected="selected">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> </select> <select size="1" name="BirthDay" id="BirthDay"> <option value="" >Day</option> <option value="01" selected="selected">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="BirthYear" id="BirthYear"> <option value="">Year</option> <option value="1990" selected="selected">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> </select> </td> <td > </td> </tr> </table></td> </tr> </tbody> </table></td> </tr> <tr> <td><table align="center" cellpadding="3" width="442"> <tbody><tr> <td colspan="3" ><h1>Your Job Information:</h1> </td> </tr> <tr> <td nowrap="nowrap">Name of Company (or source of income):<br><input name="Employer" value="" size="15" maxlength="25" id="Employer" type="text" chkTitle="Name of Company" chkRequired="true" chkMinLength="4"></td> <td colspan="2">Employer's Phone Number:<br><input size="1" maxlength="3" value="" name="EmployerPhone1" id="EmployerPhone1" chkTitle="Employer's Phone (Part 1)" chkRequired="true" chkReqLength="3" chkType="num" next="EmployerPhone2" type="text"><input size="1" maxlength="3" value="" name="EmployerPhone2" id="EmployerPhone2" chkTitle="Employer's Phone (Part 2)" chkRequired="true" chkReqLength="3" chkType="num" next="EmployerPhone3" type="text"><input size="2" maxlength="4" value="" name="EmployerPhone3" id="EmployerPhone3" chkTitle="Employer's Phone (Part 3)" chkRequired="true" chkReqLength="4" chkType="num" next="supername" type="text"></td> </tr> <tr> <td>Supervisor Name:<br><input name="supername" value="" size="15" id="supername" type="text" chkTitle="Supervisor Name" chkRequired="true" chkMinLength="2"></td> <td>Occupation Title:<br> <input name="occupation" value="" size="15" id="occupation" type="text" chkTitle="Occupation Title" chkRequired="true" chkMinLength="2" /></td> <td>Income Type:<br> <select id="IncomeType" name="incometype"><option value="employment" selected="selected">Employment</option><option value="benefits">Benefits</option> </select> </td> </tr> <tr> <td>How often do you get paid?<br> <select id="PayPeriod" onchange="changePay();" name="PayPeriod"> <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></td> <td colspan="3">Length of time Employed:<br><select size="1" name="EmpYears" id="EmpYears"> <option value="1">1 Year or less</option><option value="2">2 Years</option><option value="3">3 Years</option><option value="4">4 Years</option><option value="5">5 Years</option><option value="6">6 Years</option><option value="7">7 Years</option><option value="8">8 Years</option><option value="9">9 Years</option> <option value="10">10 Years</option> <option value="11">11 Years</option> <option value="12">12 Years</option> <option value="13">13 Years</option> <option value="14">14 Years</option> <option value="15">15+ Years</option> </select> </td> </tr> <tr> <td><br> Next Payday:<br><select size="1" name="pd1m" id="pd1m"> <option value="04">4</option><option value="05">5</option> </select> / <select size="1" name="pd1d" id="pd1d"><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" selected="selected">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"> <option value="2010" selected="selected">2010</option><option value="2011">2011</option></select><img src="images/calender.gif" border="0" alt onClick="openCal();" style="cursor:pointer;" / WIDTH="16" HEIGHT="13"><br /><a href="#" onClick="openCal(); return false;" style="color:#0000ff; margin-left:120px; _margin-left:110px;">Calendar</a><br /> <div class="main_cal" style="display:none;" id="calender_div" onMouseOver="close_cal=false;" onMouseOut="close_cal=true;"> </div> <br> <div class="main_cal" style="display: none;" id="calender_div" onmouseover="close_cal=false;" onmouseout="close_cal=true;"><table class="cal_table" id="cal_table" cellpadding="1" cellspacing="1"><tbody><tr><td class="preTD_blank"> </td><td colspan="5" class="monthDis">Feb 2008</td><td class="nextTD"> </td></tr><tr><td class="day_head">S</td><td class="day_head">M</td><td class="day_head">T</td><td class="day_head">W</td><td class="day_head">T</td><td class="day_head">F</td><td class="day_head">S</td></tr><tr><td class="cal_norm" id="day_-4_1_2008"> </td><td class="cal_norm" id="day_-3_1_2008"> </td><td class="cal_norm" id="day_-2_1_2008"> </td><td class="cal_norm" id="day_-1_1_2008"> </td><td class="cal_norm" id="day_0_1_2008"> </td><td class="passed_day" id="day_1_1_2008">1</td><td class="passed_day" id="day_2_1_2008">2</td></tr><tr><td class="passed_day" id="day_3_1_2008">3</td><td class="passed_day" id="day_4_1_2008">4</td><td class="passed_day" id="day_5_1_2008">5</td><td class="passed_day" id="day_6_1_2008">6</td><td class="passed_day" id="day_7_1_2008">7</td><td class="passed_day" id="day_8_1_2008">8</td><td class="passed_day" id="day_9_1_2008">9</td></tr><tr><td class="passed_day" id="day_10_1_2008">10</td><td class="passed_day" id="day_11_1_2008">11</td><td class="day_link" id="day_12_1_2008">12</td><td class="day_link" id="day_13_1_2008">13</td><td class="day_link" id="day_14_1_2008">14</td><td class="selected_day" id="day_15_1_2008">15</td><td class="passed_day" id="day_16_1_2008">16</td></tr><tr><td class="passed_day" id="day_17_1_2008">17</td><td class="day_link" id="day_18_1_2008">18</td><td class="day_link" id="day_19_1_2008">19</td><td class="day_link" id="day_20_1_2008">20</td><td class="day_link" id="day_21_1_2008">21</td><td class="day_link" id="day_22_1_2008">22</td><td class="passed_day" id="day_23_1_2008">23</td></tr><tr><td class="passed_day" id="day_24_1_2008">24</td><td class="day_link" id="day_25_1_2008">25</td><td class="day_link" id="day_26_1_2008">26</td><td class="day_link" id="day_27_1_2008">27</td><td class="day_link" id="day_28_1_2008">28</td><td class="day_link" id="day_29_1_2008">29</td><td class="cal_norm"> </td></tr><tr><td class="closeTD" colspan="7">Close</td></tr></tbody></table></div> </td> <td valign="top"><br />Monthly Income:<br> <select id="MonthlyIncome" name="MonthlyIncome"> <option value="750">Less than $750</option> <option value="1000">$751-$1000</option> <option value="1250">$1001-$1250</option> <option value="1500">$1251-$1500</option> <option value="1750">$1501-$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></td> <td colspan="2" valign="top">Do you have Direct Deposit?<br> <select id="DirectDeposit" name="DirectDeposit"> <option value="true" selected="selected">Yes</option> <option value="false">No</option></select></td> </tr> <tr> <td colspan="2" align="right">Are you currently a member of the Armed Services, or are married to someone in active duty, or are a dependent of someone in active duty?<br></td> <td colspan="2"> <select id="IsMilitary" name="IsMilitary"> <option value="true">Yes</option> <option value="false" selected="selected">No</option></select></td> </tr> </tbody></table> </td> </tr> <tr> <td><table id="AlignLeft" align="center" cellpadding="3" width="442"> <tbody><tr> <td colspan="3"><h1>Your Banking Information:</h1> (Tell us where to wire your cash)</td> </tr> <tr> <td> Bank Name:<br><input name="bankname" value="" id="bankname" size="15" type="text" chkTitle="Bank Name" chkRequired="true" chkMinLength="2"></td> <td>Length of time with bank:<br /> <select size="1" name="bankyr" id="bankyr"> <option value="1">1 Year or less</option> <option value="2">2 Years</option> <option value="3">3 Years</option> <option value="4">4 Years</option> <option value="5">5 Years</option> <option value="6">6 Years</option> <option value="7">7 Years</option> <option value="8">8 Years</option> <option value="9">9 Years</option> <option value="10">10 Years</option> <option value="11">11 Years</option> <option value="12">12 Years</option> <option value="13">13 Years</option> <option value="14">14 Years</option> <option value="15">15+ Years</option> </select></td> <td align="right"> <a onclick="window.open('https://www.cash-in-24-hours.com/go/bankacc/cash24','','scrollbars=yes,width=800,height=850'); return false;" href="https://www.cash-in-24-hours.com/go/bankacc/cash24" target="_blank"><img src="images/btn_2.gif" alt="No Bank Account? Click Here." width="151" height="59" border="0" /></a></td> </tr> <tr> <td nowrap="nowrap">ABA Routing Number:<br> (9 digits long)<br> <input name="routing" id="routing" size="15" maxlength="9" value="" chkTitle="Bank Routing Number" chkRequired="true" chkMinLength="9" chkType="num" next="checkingacctnumber" type="text"> <br> <a href="http://www.cash-in-24-hours.com/check.html" target="_blank" onclick="window.open('http://www.cash-in-24-hours.com/check.html','', 'height=560, width=600'); return false;" style="color: rgb(0, 0, 255);">what's this?</a> </td> <td width="35%">Checking or Savings<br> Account Number:<br> <input name="checkingacctnumber" value="" id="checkingacctnumber" size="15" type="text" chkTitle="Account Number" chkType="num" chkRequired="true" chkMinLength="4"> <br> <a href="http://www.cash-in-24-hours.com/check.html" target="_blank" onclick="window.open('http://www.cash-in-24-hours.com/check.html','', 'height=560, width=600'); return false;" style="color: rgb(0, 0, 255);">what's this?</a></td> <td> Account Type:<br> <select id="AccountType" name="AccountType"> <option value="checking" selected="selected">Checking Account</option> <option value="saving">Savings Account</option> </select></td> </tr> </tbody></table></td> </tr> <tr> <td><table id="AlignLeft" align="center" cellpadding="3" cellspacing="4" width="442"> <tbody><tr> <td colspan="3"><h1>References:</h1> (We will NOT call them to qualify you) </td> </tr> <tr> <td width="142">1st Reference Name:<br><input size="15" id="refname" name="refname" value="" chkTitle="1st Reference Name" chkRequired="true" chkType="alpha" chkMinLength="2"></td> <td width="65">Last Name:<br><input size="15" id="reflname" name="reflname" value="" chkTitle="1st Reference Last Name" chkRequired="true" chkType="alpha" chkMinLength="2"></td> <td nowrap="nowrap">Phone Number:<br><input name="refphone1" id="refphone1" value="" size="1" maxlength="3" chkTitle="1st Reference Phone (Part 1)" chkRequired="true" chkReqLength="3" chkType="num" next="refphone2" type="text"><input name="refphone2" id="refphone2" value="" size="1" maxlength="3" chkTitle="1st Reference Phone (Part 2)" chkRequired="true" chkReqLength="3" chkType="num" next="refphone3" type="text"><input name="refphone3" id="refphone3" value="" size="2" maxlength="4" chkTitle="1st Reference Phone (Part 3)" chkRequired="true" chkReqLength="4" chkType="num" next="ReferenceRelation" type="text"></td> <td width="84"> Relationship:<br> <select size="1" name="ReferenceRelation" id="ReferenceRelation"> <option value="parent">Parent</option> <option value="sibling">Sibling</option> <option value="friend" selected="selected">Friend</option> <option value="family">Family</option> <option value="other">Other</option> </select></td> </tr> <tr> <td>2nd Reference Name:<br><input size="15" id="ref2name" name="ref2name" value="" chkTitle="2nd Reference Name" chkRequired="true" chkType="alpha" chkMinLength="2"></td> <td>Last Name:<br><input size="15" id="ref2lname" name="ref2lname" value="" chkTitle="2nd Reference Last Name" chkRequired="true" chkType="alpha" chkMinLength="2"></td> <td nowrap="nowrap">Phone Number:<br><input name="ref2phone1" id="ref2phone1" value="" size="1" maxlength="3" chkTitle="2nd Reference Phone (Part 1)" chkRequired="true" chkReqLength="3" chkType="num" next="ref2phone2" type="text"><input name="ref2phone2" id="ref2phone2" value="" size="1" maxlength="3" chkTitle="2nd Reference Phone (Part 2)" chkRequired="true" chkReqLength="3" chkType="num" next="ref2phone3" type="text"><input name="ref2phone3" id="ref2phone3" value="" size="2" maxlength="4" chkTitle="2nd Reference Phone (Part 3)" chkRequired="true" chkReqLength="4" chkType="num" next="Reference2Relation" type="text"></td> <td> Relationship:<br><select size="1" name="Reference2Relation" id="Reference2Relation"> <option value="parent">Parent</option> <option value="sibling">Sibling</option> <option value="friend" selected="selected">Friend</option> <option value="family">Family</option> <option value="other">Other</option></select></td> </tr> </tbody></table></td> </tr> <tr> <td valign="middle"><div align="center">Loan Amount Requested: <select id="BorrowAmount" name="BorrowAmount"> <option value="100">$100</option> <option value="200">$200</option> <option value="300">$300</option> <option value="400">$400</option> <option value="500" selected="selected">$500</option> <option value="600">$600</option> <option value="700">$700</option> <option value="800">$800</option> <option value="900">$900</option> <option value="1000">$1,000</option> <option value="1100">$1,000</option> <option value="1200">$1,200</option> <option value="1300">$1,300</option> <option value="1400">$1,400</option> <option value="1500">$1,500 or more</option> </select> <br /></div></td> </tr> </tbody></table> </div> <div class="btn_3"><center> <input name="image" type="image" src="images/btn_3.gif" alt="Submit for Cash" border="0" /> <div id="plsWait" style="position: 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