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Please Fill Out The Cardholder Information Form below. We Will Contact You To Make Sure That You Qualify For This Program.
1) Which credit card(s) do you have?
Choose one...
American Express
Capital One
Chase
Discover
Bank of America
Citibank
US Bank
USAA
Credit One Bank
Wells Fargo
Barclays
PNC
First PREMIER
Navy Federal
I have multiple from this list (list below in comment box)
Store Credit Card (list store name in comment box below)
Other (list below in comment box)
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2) What is the limit?
Choose one...
$0-500
$500-1,500
$1,500-2,500
$2,500-3,500
$3,500-4,500
$4,500-5,500
$5,500-6,500
$6,500-7,500
$7,500-8,500
$8,500-9,500
$9,500-10,500
$10,500-20,000
$20,00-30,000
$30,000-40,000
$40,000-50,000
$50,000-60,000
$60,000-70,000
$70,000-80,000
$80,000-90,000
$90,000-100,000
$100,000+
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3) How old is your oldest credit card?
Choose one...
Under one year
Over two years
Over three years
Over four years
More than five years
More than 10+ years
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4) When is the best time to contact you via phone?
Time
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
5:30 pm
6:00 pm
6:30 pm
7:00 pm
7:30 pm
8:00 pm
8:30 pm
9:00 pm
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Time Zone
PST
MST
CST
EST
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5) Have any comments or questions?
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