Credit Card Financing Form

Title*

Legal First Name*

Legal Last Name*

Date Of Birth*

Social Security Number*

Driver License

State*

Exp Date

Email Address

Primary Phone*

I grant permission for SpellBound Hair Boutique, LLC. to send SMS messages to this number.

Address Line 1*

Address Line 2

Zip Code*

City*

State*

Residence Status*

Length at Residence*

Is Your Billing Address Different?*

Business Name or Current Employer

Position

Length of Position

Annual Income

Business Address Line 1

Business Address Line 2

Zip Code

City

State*

Business Phone Number

Are you a student?

Thank you for choosing to shop with SpellBound Hair Boutique, LLC. In the box below please share additional information that will allow us to personalize your shopping experience with us. Our knowledgeable staff looks forward to helping you find the perfect piece to wrap in our iconic blue box.

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Please note if any item is designated as an "Interest-Free" "SpellBound Select Financing" on the sales invoice or otherwise at the point of sale, the minimum monthly payment amount for that item will be a percentage of its total cash price. Please see agreement here for additional information.

By submitting this application, I agree to the following:

I certify that I have read and agree to all terms, conditions, authorizations and disclosures provided with this credit application and that all information provided is true and correct.
As the primary cardmember, you will be liable for all account balances. Authorized users will have no financial responsibility for the account. All correspondence including statements and notifications will be sent to the address listed on the account.
I understand that the terms of my account, including the APRs, are subject to change. Any such changes will be made in accordance with the Cardholder Agreement.
The information supplied in this application is true and correct and I request a SpellBound Hair Boutique, LLC. credit card.
THE RETAIL INSTALLMENT CREDIT AGREEMENT CONTAINS, AMONG OTHER THINGS INFORMATION REQUIRED TO BE DISCLOSED BY FEDERAL LAW WITH RESPECT TO RATES, FEES, AND OTHER COSTS OF CREDIT.

I Agree to these terms. (You must check this box to submit your application.)

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