Fillable Target Credit Account Application printable pdf download

NOTICE:

Important Information about Procedures for Opening a New Account

To help the government fight the funding of terrorism and money laundering activities, Federal Law requires all financial institutions to obtain, verify and record

information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of

birth, telephone number, Social Security number and other information that will allow us to identify you. We may also ask for your driver’s license or other identifying

documents.

Target Credit Account Application

Mail this application to the address below.

FIRST NAME

LAST NAME

SUFFIX

DRIVER’S LICENSE /ID NUMBER

STATE OF ISSUANCE

DATE OF BIRTH

SOCIAL SECURITY NUMBER

–

If PO Box, you must provide street address in Previous Address field below.

MAILING ADDRESS

APT#/RR/BOX

CITY

STATE

ZIP CODE

E - MAIL ADDRESS*

TIME AT RESIDENCE

HOME PHONE

( YEARS – MONTHS )

–

(

)

–

PREVIOUS ADDRESS ( IF MOVED IN LAST 12 MONTHS )

APT#/RR/BOX

CITY

STATE

ZIP CODE

INCOME FROM ALL SOURCES (CHECK ONE)

WEEK

Alimony, child support or separate maintenance income

*Include your e-mail address and receive

MONTH

need not be revealed if you do not wish it to be considered

special updates, promotions and savings.

YEAR

as a basis for repaying this obligation.

BANKING REFERENCES

BANK /CREDIT UNION NAME ( S )

Savings

Yes

Checking

Yes

TELL US ABOUT YOUR JOINT APPLICANT (PLEASE PRINT)

FIRST NAME

LAST NAME

SUFFIX

CURRENT STREET ADDRESS ( NO PO BOX )

APT#/RR/BOX

CITY

STATE

ZIP CODE

DRIVER’S LICENSE /ID NUMBER

STATE OF

HOME PHONE

DATE OF BIRTH

SOCIAL SECURITY NUMBER

ISSUANCE

(

)

–

PROTECT YOUR TARGET VISA CREDIT CARD OR TARGET CREDIT CARD ACCOUNT WITH OPTIONAL SAFETYNET

BALANCE PROTECTION. If you enroll in our optional SafetyNet balance protection program,

your protected Target Visa Credit Card or Target Credit Card balance will be paid in full (up to $10,000) in the case of a qualifying disability, hospital or nursing home stay, unemployment,

approved leave of absence or loss of life.

YES, please enroll me in the optional SafetyNet Balance Protection Program. I authorize

NO, I do not wish to enroll in the

INITIAL HERE TO ENROLL

INITIAL HERE TO DECLINE

SafetyNet Balance Protection

the fee of 99¢ per $100 of the protected balance to be billed to my account when I have

Program at this time.

a balance. I have read the Summary of Protections. I understand that your evaluation of

my credit card application will not be influenced by whether I choose to enroll, and that

I am free to cancel at any time.

YOU ARE APPLYING FOR A TARGET CREDIT ACCOUNT. TARGET NATIONAL BANK WILL FIRST CONSIDER YOU FOR A TARGET VISA CREDIT CARD. IF YOU DO NOT QUALIFY FOR A TARGET VISA CREDIT

CARD, YOU WILL BE CONSIDERED FOR A TARGET CREDIT CARD. You certify that all information provided is true and complete and agree to be bound by all terms and conditions of the Credit

Card Agreement. Target National Bank is authorized to gather whatever information is considered necessary and appropriate, including consumer credit reports.

PLEASE SIGN HERE

APPLICANT SIGNATURE ( REQUIRED )

JOINT APPLICANT SIGNATURE ( IF APPLICABLE )

DATE

FOR OFFICE USE ONLY

–

(9625- 25)

REDCARD

: TARGET

VISA

CREDIT CARD AND TARGET CREDIT CARD

ARE ISSUED BY TARGET NATIONAL BANK, AN AFFILIATE OF TARGET STORES. SUBJECT TO CREDIT APPROVAL.

(Cut here before returning by mail.)

Mailing Address

requirements, conditions, and exclusions that could prevent you from receiving benefits under

SafetyNet. The following is only a summary of the SafetyNet protections, and you should carefully

Target National Bank

read the complete SafetyNet Terms and Conditions for a full explanation of the terms of SafetyNet.

ATTN: New Accounts

3901 West 53rd St.

Automatic Coverage of Joint Accountholders: SafetyNet automatically protects both you (the pri-

Mail Stop–RNB

mary Accountholder) and your joint Accountholder.

Sioux Falls, SD 57106

Disability Benefits: Following ninety consecutive days of disability, SafetyNet will cancel

the amount of the purchase balance on your Account on the date you or your joint Accountholder

SafetyNet

Balance Protection Program

became disabled. A disability that begins within ninety days of enrollment in SafetyNet is not pro-

You can enjoy the protection and peace of mind provided by SafetyNet. You’ll rest easier knowing

tected. The disabled Accountholder must have been employed full-time (but not self-employed, an inde-

that should something happen, your REDcard purchase balance will be paid. SafetyNet gives you

pendent contractor or a seasonal worker) on the date of the disability.

these benefits:

Unemployment Benefits: Following ninety consecutive days of involuntary unemployment, SafetyNet

• Pays your purchase balance in case of a qualifying disability, hospital or nursing home stay,

will cancel the amount of the purchase balance on your Account on the date you or your joint

unemployment, leave of absence or loss of life.

Accountholder became unemployed. Unemployment that begins within ninety days of enrollment in

• Protects both the primary and joint accountholders.

SafetyNet is not protected. The unemployed Accountholder must have been employed full-time (but

• No age limit; no medical exam required.

not self-employed, an independent contractor or a seasonal worker) on the date of unemployment.

• No extra bills to pay — the fee is conveniently added to your monthly statement when you carry a

Leave of Absence Benefits: Following ninety consecutive days of unpaid, employer-approved leave

balance.

of absence, SafetyNet will cancel the amount of the purchase balance on your Account on the date

that you or your joint Accountholder’s leave began. A leave of absence that begins within ninety

SAFETYNET SUMMARY OF PROTECTIONS

days of enrollment in SafetyNet is not protected. The Accountholder on leave must have been

Important SafetyNet Information: Your purchase of SafetyNet is optional. Whether or not you pur-

employed full-time (but not self-employed, an independent contractor or a seasonal worker) on the

chase SafetyNet will not affect your application for credit or the terms of any existing credit agree-

date the leave began.

ment you have with Target National Bank. We will give you additional information before you are

continued on next page

required to pay for SafetyNet. This information will include a copy of the complete SafetyNet Terms

and Conditions, which is an optional Addendum to your Credit Card Agreement. There are eligibility

F8313.15 (R10/07)

Target Credit Account Application

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