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PLEASE NOTE:
You must be 18 years of age or older and must have a valid Social Security Number to apply.
Joint account? A completed standard application is required to set up a joint account. Click here  for a copy that you can fill out and fax to 952-921-5295 or mail to Holiday Companies Credit Department, PO Box 1216, Minneapolis, MN 55440.

Applicant Information

* First Name:
M.I.:
* Last Name:
* Email Address:
Verify Email:
* Date of Birth:
* Social Security Number:
* Home Street Address:
Unit/Apt:
* City:
* State:
* Zip Code:
* Primary Phone:
Alternative Phone:
* Drivers License Number:
* Years at Current Address:
 
 
 
 
/ /  
 
 
 
 
 
 
    
    
 
 

Employment and Income

* Employer:
* City:
* State:
Employer Phone Number:
* Position:
* Time in Present Position:
* Monthly Salary:
 
 
 
    
 
   years
.00  

Other Income *

Source:
Amount:
Frequency:
 
.00 
 
NOTE: Alimony, child support or separate maintenance income need not be revealed if you do not wish it to be considered as a basis for repaying this obligation.

Customer Agreement

I certify that I have read and agree to the terms and conditions of the Card Member Agreement. I affirm that the statements made in this application are true and accurate. You may check credit information about me with credit bureaus and others.