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Target Debit Card Application TM Mail in this application with a voided check to Target Corporation ATTN Application Processing P. O. Box 5332 Sioux Falls SD 57117-5332 BEFORE COMPLETING THIS APPLICATION PLEASE READ THE IMPORTANT INFORMATION ABOUT THE TARGET Debit CARD below. 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. PLEASE SIGN HERE APPLICANT SIGNATURE X DATE YES I HAVE INCLUDED A VOIDED CHECK WITH THIS APPLICATION. REDCARD TARGET Debit CARD IS ISSUED BY TARGET CORPORATION. SUBJECT TO ELIGIBILITY REQUIREMENTS. US PAT 7 562 048 AND 8 117 118. Required Fields FIRST NAME MI DRIVER S LICENSE/ID NUMBER Please include all special characters and spaces. LAST NAME SUFFIX STATE OF ISSUANCE DATE OF BIRTH SOCIAL SECURITY NUMBER If PO Box you must provide street address in Previous Address field below. STREET ADDRESS APT /RR/BOX CITY STATE ZIP CODE Home Phone Number E-MAIL ADDRESS OPTIONAL YOU CONSENT TO RECEIVING AUTODIALED AND PRERECORDED MESSAGE CALLS FROM US OR THOSE ACTING ON OUR BEHALF AT ANY MOBILE TELEPHONE NUMBER YOU PROVIDE TO US* YES PLEASE SEND ME E-MAILS ABOUT SPECIAL OFFERS EXCLUSIVES AND PROMOTIONS FROM TARGET AND ITS AFFILIATES* PREVIOUS ADDRESS IF MOVED IN LAST 12 MONTHS CITY Employer Name Tell us about your Authorized User APT /RR/BOX Employer Phone Number LAST NAME SUFFIX I CERTIFY THE INFORMATION I PROVIDED IS ACCURATE* I AGREE TO BE BOUND BY ALL TERMS AND CONDITIONS OF THE CARD AGREEMENT. ADD L PAT PEND. Office Use Only Team Member Name Team Member Number Store Number 9601 92 TCK F Important Information about the Target Debit CardTM The Target Debit Card is issued by Target Corporation and can only be used at Target stores in the United States and at the Target. com website Target Debit Card cannot be used on the mobile Target. com website. If you re approved for a Target Debit Card we will withdraw the amount of your transaction from your deposit account at another financial institution* In connection with your Target Debit Card we may request consumer reports from consumer reporting agencies and we may report information about your Agreement for complete terms and conditions of the Target Debit Card. Required Fields FIRST NAME MI DRIVER S LICENSE/ID NUMBER Please include all special characters and spaces. LAST NAME SUFFIX STATE OF ISSUANCE DATE OF BIRTH SOCIAL SECURITY NUMBER If PO Box you must provide street address in Previous Address field below. LAST NAME SUFFIX STATE OF ISSUANCE DATE OF BIRTH SOCIAL SECURITY NUMBER If PO Box you must provide street address in Previous Address field below. STREET ADDRESS APT /RR/BOX CITY STATE ZIP CODE Home Phone Number E-MAIL ADDRESS OPTIONAL YOU CONSENT TO RECEIVING AUTODIALED AND PRERECORDED MESSAGE CALLS FROM US OR THOSE ACTING ON OUR BEHALF AT ANY MOBILE TELEPHONE NUMBER YOU PROVIDE TO US* YES PLEASE SEND ME E-MAILS ABOUT SPECIAL OFFERS EXCLUSIVES AND PROMOTIONS FROM TARGET AND ITS AFFILIATES* PREVIOUS ADDRESS IF MOVED IN LAST 12 MONTHS CITY Employer Name Tell us about your Authorized User APT /RR/BOX Employer Phone Number LAST NAME SUFFIX I CERTIFY THE INFORMATION I PROVIDED IS ACCURATE* I AGREE TO BE BOUND BY ALL TERMS AND CONDITIONS OF THE CARD AGREEMENT.