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Personal Information

Residential Address

Employment Information

Credit History

Card Preferences

Terms and Conditions

Checkboxes
Clear Signature

The Credit Card Receipt Form Template by WPForms is the perfect way for new financial services and institutions to organize credit card applications.

It is completely customizable and offers a great starting point for understanding how to collect customer information efficiently and securely.

How Does the Credit Card Receipt Form Template Work?

The Credit Card Receipt Form Template requires the WPForms Pro License and the Signature Addon to collect new applicant information successfully while obtaining their consent for credit checks. Here’s a breakdown of the fields included:

  • Personal Information:
    • Full Name: Collects the applicant’s legal name for identification.
    • Date of Birth: Confirms the applicant’s age and eligibility.
    • Phone Number: A direct line for communication or verification.
    • Email Address: For sending application updates or further instructions.
    • Residential Address: The applicant’s current living address for verification.
  • Employment Information:
    • Current Employer: The name of the company or organization where the applicant is employed.
    • Job Title: The applicant’s role or position at their place of employment.
    • Annual Income: An important metric for credit assessment.
    • Employment Duration: How long has the applicant been with their current employer?
  • Credit History:
    • Credit Score: A numerical expression based on a level analysis of the applicant’s credit files.
    • Previous Bankruptcy: Indicates if the applicant has ever declared bankruptcy.
  • Card Preferences:
    • Card Type: The type of credit card the applicant is applying for.
    • Credit Limit: The maximum amount of credit the applicant is requesting.
  • Terms and Conditions:
    • Authorization checkboxes for the applicant to agree to a credit report and other terms.
    • Signature and Date: A formal acknowledgment and signature from the applicant.

Sign up with WPForms today and access the Credit Card Receipt Form Template. It is ideal for banks, credit unions, and any financial institution looking to simplify and secure their credit card application process.