Online Banking

NEW LOAN REQUEST

Secured or Unsecured?

Individual or Joint? *

Number of joint owners on account *

Amount Requested *

Desired Term of Loan (in months) *

Desired Payment Date *

Type of Loan *

Are you a new customer? *

Name *

First

Last

Company Name

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Email

Confirm Email

Choose the location you would like to complete your application *

Is there a specific GBT employee you would like to request? If so, please enter his/her name here

How would you prefer to be contacted?

When is the best time to arrange an appointment?

Comments

Tel: 318.843.6228 | Fax: 318.843.9961 | 1246 Third Street P.O. Box 180 Gibsland, LA 71028