INSTRUCTIONS: Please fill out the entire application below, then print this page.
YOU MUST READ ALL TERMS FROM THE LINKS ABOVE
Sign and date all required areas and FAX TO 979-431-0893 , including a LEGIBLE copy of your state drivers license or state picture ID.
You may also mail the completed application and photocopy of ID to:
Sew Vac Direct 700 South Bryan Ave
Bryan TX 77803
Credit Application
Application and Initial Cardholder Disclosure For WI residents, if you are applying for individual credit or joint credit with someone who is not your spouse,
combine you and your spouse's financial information on the application form.
CREDIT REQUIREMENTS
Product You are Interested In:
Amount of Credit Requested:
APPLICANT INFORMATION: Please tell us about yourself.
Name (First-Middle-Last):
Date of Birth (Month-Day-Year):
Social Security No.
Home Phone:
Mailing Address:
App.#
City:
State:
Zip:
Time at address:
Yrs.
Mos.
Other Phone where we may call you:
Drivers License required for processing:
If the above address is a P.O. Box, you must provide a street address for yourself or a contact person.
Your address?
Contact Person?
Contact Person Name:
Street Address (Street Name and Number):
City:
State:
Zip:
Housing Information:
Parent/Relative
Own
Rent
Other
Monthly Income From All Source:
Alimony, child support or separate maintenance income need not be disclosed unless relied upon for credit.
Time At Job:
Yrs.
Mos.
Employer's Phone No:
Relative Phone No:
CO-APPLICANT INFORMATION (COMPLETE ONLY IF CO-APPLICANT WILL RECEIVE A "HOME DESIGN CREDIT CARD")
Name (First-Middle-Last):
Date of Birth (Month-Day-Year):
Social Security No.
Home Phone:
Mailing Address:
App.#
City:
State:
Zip:
Time at address:
Yrs.
Mos.
If the above address is a P.O. Box, you must provide a street address for yourself or a contact person.
Contact Person Name:
Street Address (Street Name and Number):
City:
State:
Zip:
Housing Information:
Parent/Relative
Own
Rent
Other
Monthly Income From All Source:
Alimony, child support or separate maintenance income need not be disclosed unless relied upon for credit.
Employer's Phone No:
Drivers License required for processing:
APPLICANT and CO-APPLICANT: We need your signature(s) below
I am providing the information in this application to GE Money Bank ("GEMB")to the ("Dealers")that accept the GE Money Card ("Card") and to the program sponsors, and asking GEMB to issue me a card. By applying for this account, I authorize and agree that: (1) GEMB may furnish this and other information about me (even if my application is denied) and my account to Dealers and program sponsors (and their respective affiliates) to create and update their records, and to provide me with service and special offers. (2) GEMB may make inquiries it considers necessary (including requesting reports from consumer reporting agencies and other sources) in evaluating my application, and for purposes of reviewing, maintaining or collecting my account. (3) If my application is approved, the GEMB Credit Card Agreement ("Agreement"), will be sent be sent to me and will govern my account. (4) Among other things, the Agreement Includes and arbitration provision that may limit my rights unless I reject that provisionunder the agreement instructions; and makes each applicant responsible for paying the entire amount of credit extended; and grants GEMB a security interest in the goods purchased on the account as permitted by law. (5) I consent to GEMB and any other owner or servicer of my account contacting me about my account, including using any contact information or cell phone numbers I provide (whether now or in the future) and I consent to the use of any automatic telephone dialing system and and/or an artifical or prerecorded voice when contacting me, even if I am charged for the call under my telephone plan. (6) This application and the Agreement are governed be the federal law and Utah law (to the extent that state law provides).
Signature of Applicant
Signature of Co-Applicant (if applicable)
X_____________________________
Date_______
X_____________________________
Date_______
Please fill out the entire application above, then print this page.
Sign and date all required areas and FAX TO 979-431-0893, including a LEGIBLE copy of your state drivers license or state picture ID.
You may also mail the completed application and photocopy of ID to: