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Sears, Roebuck and Co.
00
00000 00000
0
M LEWIS
0000
Use This Credit
Card
In
Any
Sears
Store
Anywhere
Shopping from Sears Catalogs is easier,
more convenient-whenyou can say''Charge it!"
Apply today for the
Sears
Credit Card.
The credit card that lets you order by phone from
Sears
Catalogs
and even arrange for convenient home delivery.
TO APPLY, MAll TIIE APPLICATION BEWW OR
CAU
TOLL-FREE: 1-800-323-3274
IN lll.INOIS
CAU
1-800-942-7446. FOR NEW APPLICATIONS ONLY.
r----------------------------------------------------------------------
DETACH HERE
MOISTEN HERE
If you are a resident of Louisiana, New York, Ohio or Texas please call, write or visit your nearest Sears selling unit
for an application applicable to your state of residence.
Rll
in
this
8f)plication
•nd
bring
it
to the Customer
Convenience
Center
of your
nurby
Surs Store.
Or
fold. sul • nd m•il. '
Sears,
Roebuck and
Co.
Credit
Account
Application
Pl£ASE
INDICATE BELOW NAME IN WHICH ACCOUNT IS TO BE CARRIED. COURTESY TITlES ARE
Ol'T10NAL
-
Of
Al'l'\.JCANT
I
ARE
'IOU
A
D YES
I
If
NO.
STATE IMMIGRATION STATUS
I
HOME PHONE
U.S. CTIZENl D NO
96
AODAESS
CITY
STATE
ZIP
W
ipPliclJntl
1PCJU19
is
authorized
to
buy
on
the
eccount.
name
here.
I
soc.
SEC.
NQ
I
AGE
I
NUMBER
DEPENDENTS
Fnt
M-
Lost
(eJCdudtng
apptaml
1-....
-to
buy
on
lhe
llCCOUnt.
nomes
hen!.
I
z
HOW LONG AT
I
DOWN
D BOAAD
DRENT
D LIVE Willi PARENTS
I
MONTHLY RENT OR
'$
PRESENT ADDAESS
MORTGAGE PAYMENTS
FORMER ADDAESS
(If
lESS THAN ZYEARS AT PRESENTADORESSI
I~
EMPl.OYER
I
ADORESS
CITY
STATE
ZIP
HOW
I
OCCUPATION
I
NET INCOME (TAKE-HOME PAY)
I
D MONTHLY
I
BUSINESS PHONE
LONG
$
DWEEKLY
FORMER EMPIDYER
(If
LESS THAN I YEAR Willi PRESENT EMPLOYER) OR
SCHOOi.
if RECENT GRADUATE
1~
-
AND AODAESS OF BANKISI
I
D SAVINGS.
DOEOONG#
ornER
IN<XJME IF ANY
I
Ahmoft't' child
support. or teparate maintenance income
need
not be
NYUted
I
SOURCE OF OTHER INCOME
AMOUNTS
if
you
do
not wish
to h8Y9
jt
considered as a basis for PIY"'9
this obtigation.
PREVIOUS
DYES
I
ATWHATSEARSSTOREl
I
ACCOUNT NUMBER
j
AlwhotSNrsSt0<edoyouusullllyshopl
SEARS ACCOUNT? D NO
CllBllr
RERREM:ES:
NAME AND ADORESS
NAME ACCOUNT CARRIED IN
ACCOUNT NUMBER
8AIANCE
MONTHLY PAYMENT
NAME ANO ADORESS
Of
RElAllVE OR
PERSONAi.
REFERENCE OTHER THAN SPOUSE
S....
is authorized
to
~
my
credit
record
end
to
verify
my credit
.,l(f
income
referenc:ea.
tf
the
acx:ount
ii
approyed.
Sears
ii
Mlthorized
to
rete...
credit cerd(sl
in
the
n.-ne
of
the
applicant
for
tho
opplicarlt
ond -
designoled"
outhonz9d
to
buy
on
lhe
ocx:ount.
SIGNATURE X
DATE
MOISTEN HERE
MIE,S
338A