If different from Current Address
If at Current Address less than two years
Relationship with/to card holder.
Please note original documents should be provided in order to complete the process.
I certify that the above information is true and complete and that this information is provided for the purpose of obtaining a Cave Shepherd Visa Credit Card Account. I, the Customer, agree to the terms and conditions of the Cave Shepherd Visa Credit Card Cardholder Agreement and agree to repay all credit extended under this application. I authorize Cave Shepherd to investigate my credit through registered credit reference agencies and to make any other enquiries the company may consider relevant in processing this application. I also authorize Cave Shepherd to issue an additional Cave Shepherd Visa Credit Card to any person named as an Additional Cardholder.
I understand that a condition of approval of my new Cave Shepherd Visa Credit Card is to enroll in the Creditor Life Insurance Program. I understand that to be eligible for insurance coverage, I must be at least 18 years of age and under age 70 and that I am further bound by the terms and conditions as stated in the Insurance Certificate pertaining to the Creditor Life Insurance, provided to me at receipt of my new Cave Shepherd Visa Credit Card account. I authorize Cave Shepherd to provide the Insurance Company with my Cave Shepherd Visa Credit Card account number, mailing address, statement balance and to charge my monthly premiums to my Cave Shepherd Visa Credit Card account.
If so registered for the CS Online Service, I agree to use the User ID and temporary Password provided as part of the registration process and also agree to change the temporary password provided during my first log in. I agree to remain solely responsible for management of my online access and to report any changes to my registered information to Cave Shepherd.