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Credit Account At @ Liturgix

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Application Form

First Name	MI	Last Name	Suffix

Street Address	City	State	ZIP Code

Home Phone Number	First Name on Phone Bill	Last Name on Phone Bill

Date of Birth (MM-DD-YYYY) (You must be eighteen years or older to apply)	Social Security Number

Mother's Maiden Name/ Security Password This name/password will be used to verify your identity when you call.	Years at residence	Residential Status
		Rent Own Other
Occupation	Annual Income	Other Annual Household Iincome

Company Name	Time at Company	Business Phone Number

Driver's License or State ID	Primary Vehicle Owned or Leased in Household
Number or State	Make and Year (YYYY)

Savings Account	Checking Account	Investment Money Market Account
Yes No	Yes No	Yes No

Signature: . . . . . . . . . . . . . . . . . . .

Date: . . . . . . . . . . . . . . . . . . . . . .

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Terms and Conditions

You will receive monthly statements unless your account balance is $0.00.
You pay no interest for 30 days from the order placement date. You must pay off the balance on your account within those 30 days to avoid any interest payments on your purchases.
Grace Period: 30 days.
Annual Percentage Rate (APR): 17.95% annual percentage rate (APR) thereafter.
Variable Rate information: Your APR may vary from month to month. It is calculated by adding 13.25% to the Prime Rate.
Default Rate: When you fail to make your minimum monthly payment on time, your account will be in default. The default rate is calculated by adding 22.00% to the Prime Rate, which is 26.75% APR as of September 2002.
Late fee: $9.99.
Over-limit Fee: $0.00.
Statement Fee: $0.00.

Note: Those terms and conditions may be revised periodically. You will receive a 60-day advance notice of changes.

Please, mail your application form to our mailing address:
Liturgix.com
P. O. Box #181862
Coronado, CA 92178
USA

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