Bailey & Galyen Credit Card - Bailey & Galyen Attorneys at Law

Introducing The Bailey & Galyen Platinum Card

With the current state of our economy, it is difficult for many clients to afford the costs of legal services. Yet in many instances, these clients are still in need of legal assistance. In order to assist our clients, Bailey & Galyen has partnered with leading credit card company RAI Credit to offer the Bailey & Galyen Platinum Card. The Bailey & Galyen Platinum Card is a first of its kind, providing an affordable financing option for legal services for Bailey & Galyen clients. Qualified clients will be able to pay for legal services with convenient monthly payments making the cost of legal services within their reach.

Cardholder Benefits:

Interest-free for six months.
No Annual Fee.
Low monthly payments.
A credit card developed just for legal services.
Revolving credit line that can be paid off at any time without penalty.
Apply once, and then pay for all your future legal needs.
Ability to spread out the cost of legal services over time.
Reliable customer service.
Easy application process and quick response.
The ability to reserve general purpose credit cards for everyday or unplanned expenses.

Bailey & Galyen Platinum Card Credit Application

Application for a credit card account ("Account") to be issued by AccuCredit Associates, LLC ("we", "our", and "us").

Name*
Social Security Number*
Date of Birth*
MM slash DD slash YYYY
PLEASE NOTE: HOME ADDRESS MUST MATCH DRIVER'S LICENSE
Street Address*
Address Line 2
City*
State
ZIP Code*
Rent / Own / Other*
How Long at this Address*
Home Phone Number*
Cell Phone Number*
Email Address*
DRIVER’S LICENSE*
Driver’s License Number
Driver’s License State
Driver’s License Issued Date*
MM slash DD slash YYYY
Driver’s License Exp. Date*
MM slash DD slash YYYY
Upload photo of your current driver’s license.*
Max. file size: 50 MB.
EMPLOYMENT*
Employer Name
Position*
How long have you worked there?*
Street Address*
Address Line 2
City*
State
ZIP Code*
Employer Phone Number*
**Annual Income*
Other
Source
**(Alimony, child support or separate maintenance income need not be revealed if you do not wish to have considered as a basis for repaying this obligation).*
- By clicking here, I represent that I am 18 or older and a US citizen or legal resident; that the information provided in this application is true and correct; that I have read the summary of the key terms and conditions for this Account, including disclosure of key rate provisions; and that I agree to be bound by the terms of the Bailey & Galyen Installment & Credit Agreement ("Agreement"), which is incorporated by reference in this Application and the additional disclosures included with this Application, should this Application be approved.
Untitled*
- By providing a telephone number and submitting the form you are consenting to be contacted by SMS text message. Message & data rates may apply. Reply STOP to opt out of further messaging.
- I have read the disclaimer. Privacy Policy.
Date*
MM slash DD slash YYYY
To find out about changes in the information in the summary of the key terms and conditions oi the Account accompanying, write us at P.O. Box 2086, South Hackensack, NJ 07606-0686. State law requires us to give you the following notices: You give us permission to request a consumer report from consumer reporting agencies in considering this Application and subsequently for the purpose of an update, renewal or extension of credit or reviewing or collecting the Account. Upon your request we will inform applicant of the name and address of each consumer reporting agency from which we obtained a consumer report, if any,relating to Applicant. *To help the government fight the funding of terrorism and money laundering activities, Federal Law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an Account. What this means for you: When you open an Account, we will ask for your name, address, date of birth or other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.
Name
This field is for validation purposes and should be left unchanged.