Amount*
Example: 8,700
First Name*
Middle Name
Last Name*
Date of Birth*
Format: MM/DD/YYYY
Social Security Number*
Format: XXX-XX-XXXX
Home Phone Number*
Cell Phone Number
Email*
Please enter your email address
Relative Phone Number
Street*
Apt
City*
State*
# # Alabama # Alaska # Arizona # Arkansas # California # Colorado # Connecticut # Delaware # Florida # Georgia # Hawaii # Idaho # Illinois # Indiana # Iowa # Kansas # Kentucky # Louisiana # Maine # Maryland # Massachusetts # Michigan # Minnesota # Mississippi # Missouri # Montana # Nebraska # Nevada # New Hampshire # New Jersey # New Mexico # New York # North Carolina # North Dakota # Ohio # Oklahoma # Oregon # Pennsylvania # Rhode Island # South Carolina # South Dakota # Tennessee # Texas # Utah # Vermont # Virginia # Washington # West Virginia # Wisconsin # Wyoming
Zip*
Housing*
# # Own # Rent # Parents or Relative # Other
Time at Address
Years Months
Monthly Net Income*
Example: 4,200
Employer Phone Number
Time at Job
ID Card Number*
ID Card Type*
# # Drivers License # Government Issued ID # Green/Resident/Alien Card # Military ID # Passport # State Issued ID
ID Issue State*
ID Expiration Date*
Format: MM/YY
Credit Card Type*
# # Visa # Mastercard # Discover # American Express
Card Expiration Date*
Please see below for key terms, consent to Electronic Communications, Initial Disclosure Statement and Privacy Policy. Please note that SYNCB credit card is issued by Synchrony Bank ("SYNCB"). The SYNCB Privacy Policy governs the use of the credit card and is different than the privacy policy of the business, Knox Jewelers LLC, that accepts this credit card.
You can download or print the Terms and Conditions and Privacy Policy Here
By applying for this account, I am asking Synchrony Bank (“SYNCB”) to issue me a SYNCB credit card (the “Card”), and I agree that:
Federal law requires SYNCB to obtain, verify and record information that identifies you when you open an account. SYNCB will use your name, address, date of birth, and other information for this purpose.
If you apply with a Joint Applicant, each of you will be jointly and individually responsible for obligations under the Agreement and by signing below, you each agree that you intend to apply for joint credit.
I acknowledge that by clicking the "I Accept These Terms & Submit", I am indicating my intent to sign this credit card application and that this shall constitute my signature.
Check this box to accept the terms and conditions, acknowledge your understanding of the privacy policy, and sign/date this application.
I acknowledge that Knox Jewelers has no control over Synchrony Bank's decision and/or credit limit on my financing application.
Signature of Applicant