Business Center - Personal Information

Synchrony Transact^TM

New Application

Program Name One
Individual

Personal Information

Provide the applicant's information below.

First Name

MI (optional)

Last Name

Mailing Address

+ Add Apt #

PO Boxes not allowed

Zip Code

City and State will be automatically added

Housing type

City

State

Primary Phone^†

+ Add Additional Phone

Email^† (Optional) (Optional)

Confirm Email

Social Security Number

Date of Birth

Monthly Net Income From All Sources^††

^††Alimony, child support or separate maintenance income need not be included unless relied upon for credit. You may include the monthly amount that you have available to spend from your assets. Married WI Residents only: If you are applying for an individual account and your spouse also is a WI resident, combine your and your spouse's financial information.

^†You authorize Synchrony Bank ("SYNCB") to contact you at each phone number you have provided. By providing a cell phone number and/or email address, you agree to receive account updates and information, including text messages, from SYNCB & the merchants that accept the Card. Standard text messaging rates may apply.

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