BERGER NOVELTIES & AWARDS

   PHONE (815) 561-1221   Fax (815) 561-8611  

     TOLL FREE (877) 561-1221     

Your Source for HANDCRAFTED PERSONALIZED AWARDS and RECOGNITION Items since 1966. We are the areas First and Only ARA Certified Recognition Specialist. We CAN HANDLE  ALL your RECOGNITION NEEDS.

  

 

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New Customer Forms

We require a completed credit application to be on file for ALL customers.

Please complete this form and fax or mail it to us at (815) 561 - 8611.

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  Personal Credit Application 

Berger Novelties & Awards

405 Phyllis Ave.

Rochelle, IL. 61068-2133

815-561-1221 Fax 815-561-8611

Mailing Address:

Berger Novelties & Awards

PO Box 357

Malta, IL. 60150-0357

Applicant Information

Name:

Date of birth:

SSN:

Phone:

Current address:

City:

State:

ZIP Code:

Owned Rented q

Monthly payment or rent:

How long?

Previous address:

City:

State:

ZIP Code:

Owned Rented q

Monthly payment or rent:

How long?

Employment Information

Current employer:

Employer address:

How long?

Phone:

E-mail:

Fax:

City:

State:

ZIP Code:

Position:

Hourly  Salary  q

Annual income:

Previous employer:

Address:

How long?

Phone:

E-mail:

Fax:

City:

State:

ZIP Code:

Position:

Hourly  Salary  q

Annual income:

Name of a relative not residing with you:

Address:

Phone:

City:

State:

ZIP Code:

Relationship:

Co-Applicant Information, if for a joint account

Name:

Date of birth:

SSN:

Phone:

Current address:

City:

State:

ZIP Code:

Owned Rented q

Monthly payment or rent:

How long?

Previous address:

City:

State:

ZIP Code:

Owned Rented q

Monthly payment or rent:

How long?

Employment Information

Current employer:

Employer address:

How long?

Phone:

E-mail:

Fax:

City:

State:

ZIP Code:

Position:

Hourly  Salary  q

Annual income:

Previous employer:

Address:

Phone:

E-mail:

Fax:

City:

State:

ZIP Code:

Position:

Hourly q  Salary  q

Annual income:


Berger Novelties & Awards

INDIVIDUAL Credit Application

Application Information Continued

Name of a relative not residing with you:

Address:

Phone:

City:

State:

ZIP Code:

Relationship:

Banking

Name

Account Type

Account No.

Balance

 

 

 

 

 

 

 

 

 

 

 

 

Credit Cards

Name

Account no.

Current balance

Monthly payment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mortgage Company

Account no.:

Address:

Auto Loans

Auto loans

Account no.

Balance

Monthly payment