function ap_validate_2535() { var form = document.ap_form_2535; if (form.name === ""){ alert( "There was an error on this form." ); } else if (form.ap_field_28556.value === ""){ alert( "Please enter all required fields: Enter Your Email Address " ); } else if (form.ap_field_32505.value === ""){ alert( "Please enter all required fields: Are you Active Military or a dependent of Active Military? " ); } else if (form.ap_field_32506.value === ""){ alert( "Please enter all required fields: How Do you Receive your pay? " ); } else { document.ap_form_2535.submit(); } }
 
Title:   
        
First Name:
Last Name:
Email:
Home Phone:
Home ZIP:
How Do You Receive Your Pay?:
Are You Active Military or a Dependent of Active Military?:
I agree to receive other financial tips and offers from Select partners, newsletter and other trusted marketing associates.  

By submitting your information you agree to the terms of our Privacy Policy and Terms of Website Use.
(IMPORTANT!: Your Application may take up to a few minutes to process. DO NOT hit back on your browser or attempt to refresh. This will invalidate your application. )