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I

YOU AND YOUR FAMILY WILL BE PROTECTED AGAINST .••

1. Loss of employment Income. Wards CSP will make

your monthly Charg-all payments for 6 months because

of job loss, strike or illness.

2. Damage or destruction of your Wards merchan·

dlse. Purchases charged to your Charg-all accounts

which are damaged or destroyed by fire, flood, col–

lision, and other defined perils, will be repaired or re–

placed by CSP.

CSP is authorized only in Indiana and Tennessee. In Indiana,

CSP is not authorized for damage or destruction of your Wards

merchandise, or for loss of employment income due to strikes.

In lieu thereof, coverage for loss of employment income because

of Job loss or Illness, by making your monthly payments, will

continue for the entire period of unemployment, up to the total

balance on your account at the time of loss of employment in–

come. In those states where CSP is not authorized, you can

obtain Wards Charg-all Insurance Protection (CIP) whereby if

3. Misuse of your lost or stolen Charg-all card. You

are protected for the full amount of all unauthorized

charges added to your account before you discover

and report the loss of your card.

4. Death or dismemberment. If you or your spouse

should die or suffer dismemberment from any cause to

age 66-or even after 66 in case of accidental death or

dismemberment-your account balance is paid in full

up to $5,000 per account.

you or your spouse should die or suffer dismemberment from

any cause up to age 66-your entire credit account balance is

paid in full up to $5,000 per account. In Kentucky the account–

holder only is covered up to $3,000 per account. To obtain the

insurance protection applicable to your state of residence read

and sign the Insurance Agreement on page 149. Once you re–

ceive your individual insurance certificates, you'll still have 10

days in which to review them carefully. And, if you want to

change your mind, you 're free to do so.

To open your own Wards Credit Account ••• just fill out this application and read and sign the agree–

ment on the facing page. Then tear out these pages and bring or send them to Wards.

(please print)

INFORMATION

1

ABOUT

APPLICANT

I

SINGLE

I

MARRIED DIVORCED

I

WIDOWED

SEPARATED

AGE

HOME PHONE

NO. OF DEPENDENTS

MS.

MR.

MRS.

(Area Code)

M----'-155"--- -

FIRST NAM<----- - ---INITIAL--LAST NAME- ----- - - --'--"S_,,Q_::Clc..:A:;._L ..:.SE:..:C:..:.U_Rl.:...TY--'-NU"--M_B:..:.E_R-

I

YEARS AT

ADDRESS

CITY

PREVIOUS ADDRESS (IF AT ABOVE ADDRESS LESS THAN 2 YEARS)

OCCUPATION

EMPLOYER'S ADDRESS

INFORMATION

2

ABOUT

SPOUSE

SPOUSE'S FIRST NAME

SPOUSE'S EMPLOYER

PERSONAL

3

CONFIDENTIAL

I

RENT

I

OWN

I

BOARD

I

TRAILER

I

OTHER

I

DATA

RENT OR MORTGAGE

$

PAYMENT PER MONTH

NAME OF APPLICANT'S NEAREST

RELATIVE (WITH WHOM NOT RESIDING)

RELATIVE'S ADDRESS

I BANK AT

BRANCH

I

CHECKING ACCOUNT

SAVINGS ACCOUNT

I

LOAN

I

I

I

STATE

ZIP CODE

EMPLOYER

I

YEARS AT

PREVIOUS EMPLOYER

&

ADDRESS (IF WITH ABOVE EMPLOYER LESS THAN

2

YEARS)

SPOUSE'S OCCUPATION

EMPLOYER'S ·ADDRESS

APPLICANT'S

INCOME PER MONTH

$

SPOUSE'S INCOME

PER MONTH

$

OTHER CREDIT ACCOUNTS

FIRM

ACCOUNT NO.

MAJOR CREDIT CARD

CARD NUMBER

I

YEARS AT

OTHER INCOME

PER MONTH

$

MONTHLY

PRESENT

PAYMENT

BALANCE

PREv1ous

w

ARDS ACCOUNT

I

YES

I.No

\ 1F " YES", GIVE ACCOUNT NUMBER

~~~~~~~~~--_;:

_ _

_.:.__

__;:._;;.._;..;..:.:..::...:~...;.;..:.:.:.:.:.:;:...

_____________________sourceCocletll

148

WARDS

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IN SUBMITTING THIS APPLICATION FOR CREDIT, I AUTHORIZE YOU TO INVESTIGATE MY CREDIT RECORD.

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