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Apply today for the Sears Credit Card. The only credit card
that's good at 3600 Sears stores coast to coast.
No matter where you live, travel or move in the United States, you can use the
Sears Credit Card to charge over 100,000 Sears products and services.
To apply, mail die application below or call Toll-Free: 800-517-3593
(Texas residents call 800-492-5385)
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•
MOISTEN HERE
SearsCreditAccountApplication
96
Name and address In which Courteay llllH opllon•I
account Is to be carried.
D
Mr.
D
Mrs.
D
Ms.
D
Mias
D
Other-------------------
I
I
(PLEASE PAINT)
FIRST NAME
MIDDLE INITIAL
LAST NAME
ADDRESS
CITY
IF APPLICANT'S SPOUSE IS AUTHORIZED TO BUY ON THE ACCOUNT, PAINT NAME HERE:
IF OTHERS ARE AUTHORIZED TO BUY ON THE ACCOUNT, PAINT NAMES HERE:
1.
2.
AGE
STATE
ZIP
I
~----------------------------------------------~
I
If
you ue • re1ldent of Loultl•n•, New Mexico or THH, complete thl• •ppllcetlon. RHldent1 of
I
other 1t•IH, pl•••• c•ll, write or vl11t your neuHI Se•rt Hlllng unit for •n •ppllc•llon.
I
--:....,..,.".""'."'.'"-::c::-...,.=-=,.,..,-~~=--..,...-----=-~--.---~~,,,.-----.---------.,---------~------~
I SOCIAL SECURITY NUMBER
NUMBER OF
PHONE NO.
HOW LONG AT
B OWN
D
BOARD
MONTHLY RENT OR
MORTGAGE PAYMENTS
I
DEPENDENTS
PRESENT ADDRESS
RENT
I
:
-=F~O~AM-E~A~A~D~D~A~E~S~S~(l
7
F~L~ES~S~T~H~A-N_2_Y_E_A-AS-AT-PA~E~S~E-N~T-A~DD~A~E~S~S~)--.-H-O_W_,_
____
...,.-E_M_P_L_O_YE~A-------'---------
I
LONG
:
-:A
7
D~DA~E~S~S-----~~IT~Y-----S-T-AT~E----
7
Zl~P---'-.--HO_W
____..,......__
--=---------~N-E_T_E_A-AN_l_N_G_S~
I
LONG
:
--:B=--cM~O~N~T~H~LY"""-F~O~A~M~E~A~E~M~P~LO~Y~E~A~(~IF~L~E~S~S~T-H-AN,--1~Y~EA~A~W~IT~H~P~A
7
ES~E~N~T-E-M~P-LO~Y~E~A~)_._
____________..,......______
I
WEEKLY
:
-=o~T~H
7
EA=-:-:IN~C~O~M~E~l=F~A~N~Y:--.-A-llm-on-y-,c-h_ll_d-,u-p-po-r-t,-o-r
1
_e_p•_r_at_e_m_a-ln-le-n-an_c_e_ln-co_m_e_n_e_ed_n_o_t-be_r_e_ve_a_le-d.--S-0-UA~C~E-O-F-O-T-H-E-A-IN-C~O-M-E----~
I AMOUNTS
II you do not with to h•ve It con1ldered aa a bHll tor paying this obllgallon.
l
--:N~A~M~E~O~F~B~A~N~K:-----_._----~A~DD~A~E~S
7
S------~C~IT~Y,---------_._-r_B_A_N_K
___
B=-s~A-V-IN_G_S---,0-LO_A_N~
I
ACCOUNT
CHECKING
l
-=P=A=Ev7.1~o~u~s---=B~Y~E~S:-T-A~T~W~HA~T~S~E~A~A
7
S~S=To~A~E~?~--~SE~A~A~S~A~C~C~O~U~NT~N0~.---.,-~1
7
S~A-C
7
CO~U-N_T....._~B=-y
7
ES--..-D-A_T_E_F_IN_A_L_P-AY~M_E_N_T_M_A_D~E
I SEARS ACCOUNT?
NO
PAID IN FULL?
NO
: _________........__________.,__ C_R_ED_l_T_R-EF_E_R_E_N_CE_S___._________...__________
:---------N-A_M_E_A_N_D_A_D_D_A-ES-S----------,--A-C_C_O_U_NT-N-UM_B_E_A---r--B-A_L_A-NC-E---.,.--M-O_N_T_H_L_Y_P-AX_M_E_N_T-~
: -------------------------+--------+------+---------–
!
-------------------------+-------+-------+----------
NAME AND ADDRESS OF RELATIVE OR PERSONAL REFERENCE OTHER THAN SPOUSE
SEARS IS AUTHORIZED TO INVESTIGATE MY CREDIT RECORD
x
AND TO VERIFY MY CREDIT, EMPLOYMENT AND INCOME REFERENCES
SIGNATURE
DATE
•o lSearsl327
MOISTEN HERE
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