Kohl'S Corporate Gift Card Program Application Form Page 2

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Kohl’s Gift Card Department
Phone: 1-800-653-1774
Fax: 262-703-6500
E-Mail:
Website:
Mailing Address: P.O. Box 3120; Milwaukee, WI 53201-3120
Method of Payment for each Corporate Gift Card Order
 Check (Payment must be received before order will be processed. No personal or starter checks accepted.)
 Direct Debit Transaction—Recommended
Name of Bank _________________________________________
Bank Routing # ________________________________________
Bank Account # ________________________________________
Type of Account
Checking
or
Savings
Authorized Signature _____________________________________ Date ________________________
Print Name ______________________________ Title _______________________________________
FOR DIRECT DEBIT
ATTACH COMPANY’S VOIDED CHECK HERE
(Please no starter checks)
You may send this application to Kohl’s using any of the three methods listed below:
Fax
1.262.703.6500
Email
Mail
Kohl’s
Credit-Gift Card Department
PO Box 3120
Milwaukee, Wisconsin 53201-3120
07142011

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