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Apply for your Sears Account Card today! It's the only
one you need at over 900 Sears locations coast to coast
No matter where you live, travel or move in Canada, you can use
your Sears Account Card to charge over 100,000 Sears products and
services ... a great convenience for those U.S. vacations, too
Sears Account Application
(please print) Name in which account is to be carried
MOISTEN
ti
ERE
0
MONTHLY PAYMENT ACCOUNT
0
30
DAY ACCOUNT
0 MR. 0 MRS.
COURTESY TITLE OPTIONAL
0
MISS
0
MS.
OTHER---------
FIRST NAME
MIDDLE INITIAL
LAST NAME
SPOUSE'S FIRST NAME
HOME
ADDRESS------------------------------------------
STREET
O MARRIED
O SINGLE
AGE
D OWN
NO. OF
O RENT
O WIDOW / ER
DEPENDANT$___
0
BOARD
APT. NO.
MONTHLY RENT
OR
CITY
MORTGAGEPAYT.
$______
PROVINCE
HOW LONG
AT PRESENT
ADDRESS----
POSTALCODE
HOME
PHONE ______
FORMER
ADDRESS---------------------------------HOWLONG-----–
(if less than 2 years at present address)
BUSINESS
EMPLOYER--------------ADDRESS______________PHONE________
O WEEKLY
HOW LONG_____ OCCUPATION_________ SOCIALINS. #-------- EARNINGS
$_____
0
ANNUAL
FORMER
HOW
EMPLOYER ______________ADDRESS__________________LONG-----
NAME AND
(if less than 1 year with present employer)
TYPE OF
PERS. CHEQ. O NO.
LOAN O
BRANCH OF BANK
ACCOUNT: SAVINGS
0
NO.
AMOUNT
$----
EXPLAIN OTHER INCOME IF ANY (include spouse's employment)____________________________
CURRENT CREDIT OBLIGATIONS:
FINANCE------------------------------------------
OTHER----------------:-:-------------:=::--:-:=------::-:c----:=-----,-:::-:-:::-:-:-:--,.,.,,--,.,,.,..,,,,-----
NAME AND ADDRESS
ACCT. NO.
BALANCE
MONTHLY PAYMENT
PERSONALREFERENCE-------------------------------------–
NAME
I certify that the information on this application is correct. If this application is accepted and
account cards are issued, I agree to accept the terms and conditions accompanying the cards
ADDRESS
I,
the undersigned, hereby apply for an account card for myself and in the
name of
who has duly authorized me to this effect.
I also apply for a credit limit up to$________
The undersigned consents to the conduct of a consumer investigation by Simpsons-Sears
Limited and/or a consumer reporting agency and that information concerning
my account may be disclosed to other credit grantors or to rep_orting agencies.
SIGNATURE
DATE_________SIGNATURE______________OFSPOUSE_____________
MOISTEN HERE