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DRIVER’S LICENSE/ID NUMBER * Please include all special characters and spaces. SOCIAL SECURITY NUMBER * — — STATE OF ISSUANCE * DATE OF BIRTH * — — CITY * STATE * ZIP CODE * STREET ADDRESS * APT#/RR/BOX If PO Box, you must provide street address in Previous Address field below. † YOU CONSENT TO RECEIVING AUTODIALED AND PRERECORDED MESSAGE CALLS OR TEXTS FROM US, OR THOSE ACTING ON OUR BEHALF, AT ANY MOBILE TELEPHONE NUMBER YOU PROVIDE TO US. F8519.15 (R12/01/17) I CERTIFY THE INFORMATION I PROVIDED IS ACCURATE. I AGREE TO BE BOUND BY ALL TERMS AND CONDITIONS OF THE CARD AGREEMENT. IN ACCORDANCE WITH THE AGREEMENT, I AUTHORIZE TARGET CORPORATION TO INITIATE ELECTRONIC FUNDS TRANSFERS TO/FROM MY DEPOSIT ACCOUNT UNTIL I NOTIFY TARGET OF MY TERMINATION. TARGET MAY GATHER ANY INFORMATION CONSIDERED NECESSARY AND APPROPRIATE, INCLUDING CONSUMER REPORTS. OFFICE USE ONLY 9701-05 TCK F REDCARD ® : TARGET DEBIT CARD IS ISSUED BY TARGET CORPORATION. SUBJECT TO ELIGIBILITY REQUIREMENTS. US PAT 7,562,048 AND 8,117,118. ADD’L PAT PEND. REMINDER: DID YOU INCLUDE A VOIDED CHECK? A voided check is required for processing. Target Debit Card TM Application Mail in this application WITH A VOIDED CHECK to: Target Corporation ATTN: Application Processing P.O. Box 5332 Sioux Falls, SD 57117-5332 FIRST NAME * MI LAST NAME * SUFFIX REQUIRED FIELDS * FOR THE SECURITY OF YOUR PERSONAL INFORMATION, PLEASE DO NOT FILL OUT THIS APPLICATION ON A PUBLIC COMPUTER OR DEVICE. BEFORE COMPLETING THIS APPLICATION, PLEASE READ THE IMPORTANT INFORMATION ABOUT THE TARGET DEBIT CARD BELOW. PLEASE SIGN HERE X APPLICANT SIGNATURE * DATE — — Important Information about the Target Debit Card The Target Debit Card is issued by Target Corporation and can only be used at Target stores in the United States and at Target.com. If you’re approved for a Target Debit Card, we will withdraw the amount of your transaction from your designated deposit account at your bank or credit union. In connection with your Target Debit Card, we may request consumer reports from consumer reporting agencies, and we may report information about your Target Debit Card application, transactions, our experiences with you and how you have handled the Target Debit Card to consumer reporting agencies. You should read the Card Agreement for complete terms and conditions of the Target Debit Card. †PRIMARY PHONE * †SECONDARY PHONE E-MAIL ADDRESS ( ) – ( ) – PREVIOUS ADDRESS (REQUIRED IF MOVED IN LAST 12 MONTHS) APT#/RR/BOX CITY STATE ZIP CODE
