McCaffrey's Value Card Application
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McCaffrey's Value Card Application
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Print and fill out this application and take it to your McCaffrey's store to begin qualifying for
unique Value Card offers immediately. Please Print Clearly.
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Customer Card Application |
Card Number: |
Store Number: |
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Do you wish to have check cashing privileges? Yes _____ No _____ If yes, you must fill out "Required Information for Check Cashing Privileges" below. Date ___/___/____ APPLICANT: Last Name First Name Middle Initial ______________________________ _________________________ ____
Street Address _________________________________________________________________
City, State, ZIP Home Phone Social Security # ___________________________________ (_____)_____-_______ ____-___-______
CO-APPLICANT (If Applicable) Last Name First Name Middle Initial _____________________________ _________________________ ____
_____ I DO NOT WISH TO RECEIVE COUPONS, SPECIAL OFFERS, OR OTHER INFORMATION. |
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Required Information for Check Cashing Privileges |
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Employer's Name and Address (Yours or Co-Applicants, if applicable) ____________________________________________________________________________ ____________________________________________________________________________
Business Phone ______________________
Bank Name Checking Account # Driver's License # _________________________ ________________ ______________
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We value your privacy.
As a McCaffrey's Value Card customer, your privacy is extremely important to us!
McCaffrey's will record your purchases in order to give you special offers and privileges.
We assure you that McCaffrey's will keep all information confidential.
It will not be distributed to outside parties under any circumstances.
copyright 2005 McCaffrey's