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.
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 *
†PRIMARY PHONE (REQUIRED)
†SECONDARY PHONE (OPTIONAL)
(
(
)
–
)
E-MAIL ADDRESS (OPTIONAL)
–
† YOU CONSENT TO RECEIVING AUTODIALED AND PRERECORDED MESSAGE CALLS OR TEXTS FROM US, OR THOSE ACTING ON OUR BEHALF, AT ANY MOBILE TELEPHONE NUMBER
YOU PROVIDE TO US.
PREVIOUS ADDRESS (REQUIRED IF MOVED IN LAST 12 MONTHS)
TELL US ABOUT YOUR AUTHORIZED USER
FIRST NAME
MI
APT#/RR/BOXCITY
STATE
ZIP CODE
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. 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
——
REMINDER: DID YOU INCLUDE A VOIDED CHECK? A voided check is required for processing.
®
REDCARD : TARGET DEBIT CARD IS ISSUED BY TARGET CORPORATION. SUBJECT TO ELIGIBILITY REQUIREMENTS. US PAT 7,562,048 AND 8,117,118. ADD’L PAT PEND.
OFFICE USE ONLY
TEAM MEMBER NAMETEAM MEMBER NUMBER
STORE NUMBER
9701-05 TCK F
Important Information about the Target Debit Card
The Target Debit Card is issued by Target Corporation and can only be used at Target stores in the United States and at Target.com. If you’re approved for a Target Debit Card,
we will withdraw the amount of your transaction from your designated deposit account at your bank or credit union. In connection with your Target Debit Card, we may request
consumer reports from consumer reporting agencies, and we may report information about your Target Debit Card application, transactions, our experiences with you and how
you have handled the Target Debit Card to consumer reporting agencies. You should read the Card Agreement for complete terms and conditions of the Target Debit Card.
F8519.15 (R1/16)