Fillable Application For A Lowes Credit Card printable pdf download

Application for a Lowe’s Credit Card

Select the Card of Your Choice:

❑ Standard Blue

❑ Garden Club *

❑ Team 48 *

❑ Team 24 *

Complete and mail to:

GE Money Bank

PO Box 981419

El Paso, TX 79998

* By selecting one of these card types with this application, you authorize us to provide

Please print. Please use black ink.

information to Lowe’s so that you can be enrolled in the free Team Lowe’s Racing Club

Please complete entire application.

or Garden Club.

Omitting important information ✔ will delay credit processing.

1. Applicant.

Please tell us about yourself.

✔

First Name

Initial

Last Name

Mother’s Maiden Name

✔

Home Address (Street Name and Number Required)

City

State

Zip Code

❑ Own

❑ Rent

Mailing Address (If Different From Home Address)

City

State

Zip Code

✔

Home Phone

Second Phone

Cell / Other Phone Where We May Call You

(

)

(

)

(

)

✔

Date of Birth (MM/DD/YYYY)

Social Security No.

Annual Income From All Sources*

E-Mail Address (Optional)**

*Alimony, child support or separate maintenance income need not be disclosed unless relied upon for credit.

WI RESIDENTS ONLY: If you are applying for an Individual Account, combine your and your spouse’s financial information in Section 1 above.

**By providing my E-mail address, I consent to receive E-mail communications about my Account and authorize you to provide my E-mail address to Lowe’s Companies, Inc.

so I can receive special offers and updates.

2. Joint Applicant or Authorized User.

Please complete. Joint Applicant must sign below.

An additional card will be issued to the person indicated below. The primary cardholder will be liable for all purchases made on the account, including those made by any

authorized user.

JOINT APPLICANT ONLY: By signing below, you agree that the Applicant’s Home Address is YOUR street address.

First Name

Initial

Last Name

❑ Spouse

❑ Other

Social Security Number

Home Phone

Second Phone

Date of Birth (MM/DD/YYYY)

(

)

(

)

3. Applicant and Joint Applicant.

We need your signature(s) below.

I ask that GE Money Bank (“you”) issue me a Lowe’s Credit Card. I am providing this information to you and to Lowe’s Companies, Inc. I also direct you

to furnish information about me (even if my application is declined), your decision on my application, and my Account to Lowe’s Companies, Inc. (and its

affiliates) to create and update their records and to provide me with service and special offers. I affirm that the information I have submitted is complete

and truthful. I authorize you to make inquiries (including requesting reports from consumer reporting agencies and other sources) in evaluating my

application, and subsequently, for purposes of reviewing, maintaining or collecting my account. I also understand that the Lowe’s credit card agreement

(“Agreement”) will govern my account if my application is approved, and that THE AGREEMENT’S TERMS INCLUDE AN ARBITRATION PROVISION

WHICH MAY SUBSTANTIALLY LIMIT MY RIGHTS, UNLESS I REJECT THAT PROVISION UNDER THE AGREEMENT’S INSTRUCTIONS. This

application and the Agreement are governed by federal and Utah law. I acknowledge that, under the Agreement, I grant you a security interest in the goods

purchased on the account, as permitted by law. If approved, each applicant will be responsible for all credit extended on the Account.

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.

✔

Applicant’s Signature

Joint Applicant’s Signature

Date

____________________________________________

__________

For Wisconsin Residents Only

No provision of a marital property agreement, a unilateral statement under Sec. 766.59, Wis. Stats., or a court decree under Sec. 766.70, Wis. Stats.,

adversely affects the interest of the creditor unless the creditor, prior to the time credit is granted, is furnished a copy of the agreement, decree or has

actual knowledge of the adverse provision when the obligation to the creditor is incurred. We are required to ask married residents of Wisconsin

who have applied for individual credit to give us the name and address of their spouse, regardless of whether their spouse may use the card.

Please provide that information below:

____________________________________________________

________________________________________________

Name of Spouse

Address of Spouse

W02LW

C822 (3/06) 7000-I [72307]