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SPl ..EGEL
ACCOUNT
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out+.th~
..
pppli~ption.
belo;f'· All
liinfottnatign
isJ(.~pt 'tompl~t~y
confldential.
o.
My
~rft f.:\e~thh~ I+··
Paym~nt
Order ·· · ··
f.\y;f1rst
<;v~rg~;.
Aq:qvnt Order
APPLICATION
0
My
account was paid up
more than
l 2
months ago
PLEASE ANSWER ALL QUESTIONS TO AVOID DELAY-If married, answers must apply to husband
Please
Chee~
0
Married
0
Single
0
Widaw(er)
0
Divorced or Separated
one
Whal is your age?___How many children do you support?___Your phone number?___________
(Include
Area
Cade}
Whal kind of
Haw long with
work do you
do?
PRESENT Employer?_______
(If in armed forces, give rank, serial and Social Security number)
(Years-Months)
EMPLOYER (Give Company Namel------------------------------
Address (Where You Workl-------------------------------
Whal are your
Additional income
present earnings?
$.______
Please
D
Weekly
check
D
Monthly
one
0
Yearly
Please
D
Weekly
check
D
Monthly
one
D
Yearly
and Wife's, if any?
$______
Give 2 References (Stores, Finance Companies or major Credit Cards)
],
_________________________________________
Name of Firm
Complete Address
Account Number
2·------------------------------------------~
Name of Firm
Complete Address
Account Number
Account Agreement
SPIEGEL, Inc., Chicago, Ill. I understand that my order far merchandise (including Free Trial
merchandise which I keep) and all subsequent. orders will be subject ta these terms:
I'
promise lo pay the time sale price, which is the cash sale price including shipping / handling charge and lax, if any,
plus the time price differential (monthly finance charge) and the charge far Spiegel Group Credit Insurance Policy (if
authorized below), as slated in your current catalog. I will pay the balance in monthly payments according to terms
slated in your catalog. If I default in any payment(s) you may hold 'l'e far full balance. If I elect ta pay in full within
twenty-five days after my statement date, I will awe only your cash price plus shipping / handling charge and tax, if
any, far such purchase. I agree that the validity and construction of this agreement shall be governed by the laws of
Illinois. I understand you have the right ta accept or reject my application in accordance with your credit standards.
Please
Sign
Here____________________
(If married, HUSBAND should sign here)
(and WIFE should sign here)
For pennies a month, .001 65 of beginning monthly balance (which far example is only 16
Y2C
far a balance of $100),
you can be safeguarded by Spiegel Group Credit Insurance Policy, issued by Guaranty
life
Insurance Campany of
America, which will pay your account balance up ta $2,500 in the event of the death of you or your spouse. A certif–
icate will be sent, describing all benefits in full. Purchase of this insurance is not a factor in approving the extension
of credit, and the insurance can be terminated al any time.
Please
Sign Here_______________________
Date___________
(If married, HUSBAND should sign here)
::\J,,
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r7(X
NOtJCE
ON
'f&oGET
PoJ<f1f
o~a;~s,
n<>
needtt~
flgure tax. We
ln~lude
in stotement.