CREDIT APPLICATION

Free Financing, No Payments or Interests for 6 months - Not in conjunction with any other offer

Credit application - editable pdf to be printed, signed and faxed.

Always a Great Bullie at a Great Price

PREFERRED CUSTOMER ACCOUNT Credit Card Account Application
* indicates required fields
*Account Choice Individual Joint
APPLICANT INFORMATION
*First Name
*Middle Name
*Last Name
*Date of Birth Date Selector Clear
Physical Address  
*Street
*Apt. No. and P.O Box (if any)
*Ownership Status Own Rent
*City
*State
*Zip Code
*Home Phone No.
Email Address

By providing my e-mail address, I consent to receive e-mail communications from you about my account, and I authorize you to provide my e-mail address to the Retailer name referenced above so I can receive special offers and announcements.

*Employer
*Social Security No. / /
*Work Phone No.
*Annual Income $

* INCOME NOTICE : Income can include all sources.You need not disclose alimony, child support, or separate maintenance income if you do not wish to have it considered in determining creditworthiness.

CO-APPLICANT INFORMATION
First Name
Middle Name
Last Name
Date of Birth Date Selector Clear
Physical Address Same as Applicant's
Street
Apt. No. and P.O Box (if any)
City
State
Zip Code
Employer
Social Security No. / /
Work Phone No.
*Annual Income $

* INCOME NOTICE : Income can include all sources.You need not disclose alimony, child support, or separate maintenance income if you do not wish to have it considered in determining creditworthiness.

NOTE: If you are married and a Wisconsin resident, we are required by law to obtain the name and address of your spouse unless this is a joint application with your spouce.

Spouce Name
Address