Wayne's & Meltzer's Syracuse Bicycle - Trek, Gary Fisher, Lemond, Fuji, Diamondback, Raleigh, Giant, Schwinn, Zipp, Mavic, Bontrager

PLEASE READ CAREFULLY:
Before filling out our online form below, please print out and read the entire credit application available in PDF FORMAT - CLICK HERE. Also, please read the FAIR CREDIT REPORTING ACT NOTICE at the bottom of this page.

Questions?
Don't hesitate to call us and ask! Please call us at (315) 446-6816 or email us through our contact form.

TO APPLY IN PERSON:
If you prefer not to fill the application out online. Simply click here to download the form in PDF format. Print it, fill it out, and bring it into the shop.

Print It.
Fill It Out.
Bring it to the Shop.

TO APPLY ONLINE:
Please fill in this SSL Secured form to apply for credit at Wayne's Bike Superstore. All areas in green are required.

Wayne's & Meltzer's Syracuse Bicycle Co. Credit Application
E-mail Address:	Confirm E-mail:
Applicant Name: (First, Middle Initial, Last)
First:	MI:	Last:
Social Security Number:	Date of Birth:

Current Address
Street Address:

City:	State:	Zipcode:
Home Phone:	Time at Address (Mos./Yrs.):

Previous Address
(If less than 2 years at current address)
Previous Address: (If less than 2 years at current address)
City:	State:	Zipcode:
Home Phone:	Time at Address:

Current Employer
Current Employer:	Current Position:
How Long: Years and Months	Work Phone:	Salary: (Per Year)

Previous Employer
(If less than 2 years at current employer)
Previous Employer:	Previous Position:
How Long: Years and Months	Work Phone:	Salary: (Per Year)

Other Income

(Alimony, child support, or seperate maintenance payments need not be disclosed if you do not wish to have it considered as a basis for repaying this obligation.)

Per

Source

Other Information
Has Applicant Ever Declared Bankruptcy:	Yes No
Applicant Has:	Checking Savings
Applicant:	Owns Rents
Nearest Relative Not Living With You: (relationship, name address, city, state, zip, phone)

Co-Applicant Information
Co-Applicant Name: (First, Middle Initial, Last)
First:	MI:	Last:
Social Security Number:	Date of Birth:
City:	State:	Zipcode:
Home Phone:	Time at Address:

Co-Applicant Current Employer
Co-Applicant Employer:	Co-Applicant Position:
How Long: Years and Months	Work Phone:	Co-Applicant Salary: (Per Year)

Message

Message:
Please specify what sort of purchase you are looking to make and a general dollar amount that you would like to finance.

Complete

FAIR CREDIT REPORTING ACT NOTICE TO CUSTOMER: Buyer's credit application will be submitted for consideration to CitiFinancial Retail Services Division of Traveleers Bank & Trust, fsb or on eo fits affiliates, Home Office, 300 St. Paul Place, Baltimore, MD 21202.

Notice to Applicant: A consumer report may be requested with the processing of your credit. Upon request, you will be informed whether or not a consumer report was requested and, if such report was requested, informed of the name and address of the conumer reporting agency that furnisehd the report. Subsequent consumer reprots may be requested or utilized in connection with an update, renewal or extension of credit or collection. I/We authorize you to investigate credit and employment history and understand that if I/we do not qualify for the requested amount, you may consider me for a lesser amount.
If this application is approved you agree to all the terms and conditions of the attached Agreement (Form 23379-C (04/01)), which are incorporated herin by reference.

NOTICE TO THE BUYER: 1. SEE TOP OF ATTACHED AGREEMENT FOR THE RATE, FEES AND OTHER INFORMATION APPLICABLE TO YOUR ACCOUNT. 2. DO NOT SIGN THIS APPLICATION BEFORE YOU READ THE ATTACHED AGREEMENT OR IF IT CONTAINS ANY BLANK SPACES. 3. YOU ARE ENTITLED TO A COMPLETELY FILLED IN AND EXACT COPY OF THE AGREEMENT WHNE YOU SIGN THIS APPLICATION. 4. KEEP THIS AGREEMENT TO PROTECT YOUR LEGAL RIGHTS. 5. YOU HAVE THE RIGHT TO PAY IN ADVANCE THE FULL AMOUNT DUE. 6. SERVICE CHARGES(FINANCE CHARGES) NOT IN EXCESS OF THOS PERMITTED BY LAW MAY BE CHARGED ON THE OUTSTANDING BALANCES FORM MONTH TO MONTH. 7. IF YOU DO NOT MEET YOUR CONTRACT OBLIGATIONS, YOU MAY LOSE THE PROPERTY YOU BOUGHT UNDER THIS CONTRACT. 8. I FYOU DESIRE TO APY OFF IN ADVANCE THE FULL AMOUNT DUE, THE AMOUNT THAT IS OUTSTANDING WILL BE FURNISHED UPON REQUEST.

BY CLICKING THE SEND APPLICATION BUTTON ABOVE, YOU ACKNOWLEDGE THAT YOU HAVE READ AND RECEIVED A COPY OF THE AGREEMENT BEFORE MAKING ANY PURCHASES UNDER THIS ACCOUNT AND THAT NO PERSON HAS ASSISTED YOU IN ARRANGING THIS FINANCING.

CAUTION -- IT IS IMPORTANT THAT YOU THOROUGHLY READ THE CONTRACT BEFORE CLICKING THE SEND APPLICATION BUTTON ABOVE.

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