Santa's Work Shop Application Form for an Elf-Reindeer Credit Card

Application Form for a Reindeer Bank Gold Credit Card

Your First Name  
Your Last Name  
Your Full Name  
E Mail Address  
2nd E Mail Address  
Your Age  
Your Gender  
Your City State Country Zip Code  
  ITEM NUMBER      DESCRIPTION OF TOY COST
TOY ITEM 1
TOY ITEM 2
TOY ITEM 3
TOY ITEM 4
TOY ITEM 5
TOY ITEM 6
TOY ITEM 7
Sales Tax  
Order Total Cost  
 
Order Reference Number
 
 
Credit Card Number
 
 
Credit Card Pin Number
 
Credit Card Picture Selection This is the picture your using on your credit card.
Using CC Picture

Credit Card Picture Url and Name  Test
Is this Your Image? ↑→ Test
 
Comments, Suggestions, Problems Requests

Note: If problems sending http://url/picname, Press Reset, select option "My Picture is at http://WebUrl/Picture Name", and use this field to send us your http://url/picname. Leave the other field box empty. There's a 48 hour delay to see your photo. If send/attach your photo from local disc, you can see your photo immediatly.
 
Please Answer All the Following Questions

Instructions: Go over the application and correct any errors the Elves may of done pre filling it out for you. Go over all the boxes and make sure they're full. Make sure the total and all charges are correct. Enter or choose your secret PIN. Select the picture for your card, Rudolf's, Santa's, or yours, if you choose yours enter the (http://url/picturename) if it's on the web or attach if from your local C drive, to attach it press Browse, find the folder and image name and select it, verify that it's attached by mousing over the Is this your image? box, and if it shows up the right path and image name then it's attached, finish the rest of the questions and press button, Send to Reindeer Bank. Partial apps will not be approved, please answer all questions.
 
 
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Press Reset, to clear all fields and start over this form.
If problems sending see above Note

All Information is Confidential and Needed for Credit Card Approval.
You should receive the credit aproval within 48 hours.
 
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