Common use of APPLICANT INFORMATION Clause in Contracts

APPLICANT INFORMATION. Please tell us about yourself. Please note that you must reside in the United States and be 18 years or older to apply. Name (First-Middle-Last) Please Print Date of Birth / / Social Security Number - - Home Phone Number * ( ) Mailing Address Apt.# City State Zip Cell/Other Phone Number * ( ) If the above address is a P.O. Box, you must provide a street address for yourself or a contact person. Contact Person Name Street Address (Street Name and Number) Your Address? City Contact Person? State Zip Employer’s Phone Number * ( ) Relative Phone Number * ( ) assets. ** that you have available to spend from your $ for credit. You may include the monthly amount Alimony, child support or separate maintenance Monthly Net Income income need not be included unless relied upon From All Sources RENT OTHER Housing Information PARENTS/ RELATIVE OWN E-Mail Address (optional)* *You authorize GE Capital Retail Bank (“GECRB”) to contact you at each phone number you have provided. By providing a cell phone number and/or email address, you agree to receive special offers, updates and account information, including text messages from GECRB and the dealers/merchants/retailers that accept the Card. Standard text messaging rates may apply.

APPLICANT INFORMATION. Please tell us about yourself. Please note that you must reside in the United States and be 18 years or older to apply. Name (First-Middle-Last) Please Print Date of Birth / / Social Security Number - - Home Phone Number * ( ) Mailing Address Apt.# City State Zip Cell/Other Phone Number * ( ) If the above address is a P.O. Box, you must provide a street address for yourself or a contact person. Contact Person Name Street Address (Street Name and Number) Your Address? City Contact Person? State Zip Employer’s Phone Number * ( ) Relative Phone Number * ( ) assets. ** that you have available to spend from your $ for credit. You may include the monthly amount Alimony, child support or separate maintenance Monthly Net Income income need not be included unless relied upon From All Sources RENT OTHER Housing Information PARENTS/ RELATIVE OWN E-Mail Address (optional)* *You authorize GE Capital Retail Bank (“GECRB”) to contact you at each phone number you have provided. By providing a cell phone number and/or email address, you agree to receive special offers, updates and account information, including text messages from GECRB and the dealers/merchants/retailers that accept the Card. Standard text messaging rates may apply.. If the above address is a P.O. Box, you must provide a street address for yourself or a contact person. Contact Person Name Street Address (Street Name and Number) Your Address? City Contact Person? State Zip