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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?
Bank of America
Credit One Bank
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)
2) What is the limit?
3) How old is your oldest credit card?
Under one year
Over two years
Over three years
Over four years
More than five years
More than 10+ years
4) When is the best time to contact you via phone?
5) Have any comments or questions?
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