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GE Financing

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Credit Application

Applicant Information



*First Name
 Middle *Last Name
*Social Security No.
 *Home Phone No.
Cell/Other Phone:

*Mailing Address
*City
 *State *Zip Code
If the above address is a PO box you must provide a street address for yourself or a contact person
Contact Person Name:
 Street Address
 City
State
 Zip Code
 Your Address
Contact Address
Housing Information
Own
Rent
Parent/Relative
Other
 Monthly Net Income from all sources
(Alimony, child support or separate maintenance income need not be disclosed unless relied upon for credit.)
 Time at Job

Years
Months
Employer's Phone No.

 Relative Phone No.
 Email Address (optional)

Co-Applicant Information

First Name
 Middle Last Name
Social Security No.
 Home Phone No.
Cell/Other Phone:

Mailing Address
City
 State Zip Code
If the above address is a PO box you must provide a street address for yourself or a contact person
Contact Person Name:
 Street Address
 City
State
 Zip Code
 Your Address
Contact Address
Housing Information
Own
Rent
Parent/Relative
Other
 Monthly Net Income from all sources
(Alimony, child support or separate maintenance income need not be disclosed unless relied upon for credit.)
 Time at Job

Years
Months
Employer's Phone No.

 Relative Phone No.
 Email Address (optional)

*Please check here to indicate you have read and agree to the terms and conditions below

Terms & Conditions

APPLICANT and CO-APPLICANT: We will need verify your identity with your signature(s) and ID(s) to open an account.

I am providing the information in this application to GE Money Bank (“GEMB”), to Home Design, to dealers (“Dealers”) that accept the A Home Design Credit Card (“Card”) and to program sponsors, and asking GEMB to issue me a Card. By applying for this account, I authorize and agree that:

  • GEMB may furnish this and other information about me (even if my application is denied) and my account to Home Design and to Dealers and program sponsors (and their respective affiliates) to create and update their records, and to provide me with service and special offers.
  • GEMB may make inquiries it considers necessary (including requesting reports from consumer reporting agencies and other sources) in evaluating my application, and for purposes of reviewing, maintaining or collecting my account.
  • If my application is approved, the Home Design Card Agreement (“Agreement”) will be sent to me and will govern my account.
  • Among other things, the Agreement: (1) INCLUDES AN ARBITRATION PROVISION THAT MAY LIMIT MY RIGHTS UNLESS I REJECT THAT PROVISION
    UNDER THE AGREEMENT’S INSTRUCTIONS; and (2) makes each applicant responsible for paying the entire amount of credit extended; and (3) grants GEMB
    a security interest in the goods purchased on the account as permitted by law.
  • GEMB may contact me (1) using all contact information that I provide to GEMB, including without limitation, each phone number, email address, and/or text message
    address, (2) for all purposes, including collection purposes, (3) using methods where I may be charged for the communication (such as calling or sending a text
    message to my cellular phone) and (4) using automated equipment.
  • This application and the Agreement are governed by federal law and Utah law (to the extent that state law applies).

Federal law requires us to obtain, verify and record information that identifies you when you open an account. We will use your name, address, date of birth, and other information for this purpose and will require your signature and ID before opening this account.

 






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