47649_RH:R&H 07_24_08  3/8/12  10:14 PM  Page 1

ARBITRATION PROVISION: PLEASE READ THIS PROVISION OF THE
AGREEMENT  CAREFULLY.  IT  PROVIDES  THAT  ALL  DISPUTES,
CLAIMS OR CONTROVERSIES BETWEEN YOU AND US SHALL BE
RESOLVED BY BINDING ARBITRATION. ARBITRATION REPLACES
THE RIGHT TO GO TO COURT, INCLUDING THE RIGHT TO A JURY
AND TO PARTICIPATE IN A CLASS ACTION OR SIMILAR PROCEED-
ING. IN ARBITRATION A DISPUTE IS RESOLVED BY AN ARBITRA-
TOR INSTEAD OF A JUDGE OR JURY. ARBITRATION PROCEDURES
ARE SIMPLER AND MORE LIMITED THAN COURT PROCEDURES.

AGREEMENT TO  ARBITRATE: Either  you  or  we  may,  without  the
other’s consent, elect mandatory, binding arbitration for any dispute,
claim or controversy between you and us. To accomodate the right to ar-
bitrate, you agree that you will neither assert, nor participate in, a class
action  or  other  representative  action  or  proceeding  relating  to  this
Agreement,  your  account,  your  card  or  any  other  aspect  of  your 
relationship with us.

CANCELLING OR LIMITING YOUR CREDIT: We have the right at any
time to limit or terminate the use of your Account, or to terminate this
Agreement as it relates to future purchases, without giving you notice
in advance. In addition, you agree that we may change your credit limit
from time to time, based on changes in your credit capacity. You may ter-
minate this Agreement at any time upon advance written notice to us
but, if you do, you agree that you will remain obligated to pay the total
balance due under the terms of your Agreement.

CREDIT CARD: You request a Credit Card from us if it is our practice
to provide one. All Credit Cards issued to you remain our property and,
if requested, you agree to return to us any Credit Card issued for your
Account. You further agree to immediately notify us, orally or in writing,
of the loss, theft or unauthorized use of your Credit Card. If notice is
given  orally,  you  will  confirm  it  in  writing. You  may  be  liable  for  the 
unauthorized use of your Credit Card before you notify us in writing at
Rogers & Hollands, PO. Box 879, Matteson, IL 60443, or telephone us
at 1-800-326-4116 of the loss, theft or unauthorized use. In any case
your liability will not exceed $50. 

CREDIT INVESTIGATION: You authorize us to investigate your credit
history by obtaining consumer reports and by making direct inquiries of
businesses where you have accounts and where you work. We may re-
quest a consumer report from consumer reporting agencies in consid-
ering your application for this Account and later in connection with an
update, renewal, or extension of credit or reviewing or collecting the Ac-
count. Upon your request we will tell you whether or not a consumer
report was requested and the name and address of any consumer
reporting agency that furnished the report. You also authorize us to
report your performance under this Agreement to credit bureaus and
others who may properly receive such information. A negative credit
report reflecting on your credit record may be submitted to a credit re-
porting agency if you fail to fulfill the terms of your credit obligation. 

GOVERNING LAW/NOTICE OF CHANGE OF ADDRESS: This agree-
ment is governed by federal law and the law of the state in which the Ac-
count was opened. You agree to notify us promptly in writing if you move.
Until  we  receive  written  notice  of  your  new  address,  we  will 
continue to send monthly Statements and other notices to the address
you gave on the application for this Account. 

ASSIGNMENT: We may assign your Account and our rights under this
Agreement at any time to any third party without further notice to you.
If this Agreement is assigned, all of our rights under this Agreement will
continue to apply to any assignee or holder of this Agreement. 

TELEPHONE MONITORING: We treat every guest call confidentially. To
ensure you receive accurate and courteous guest service, on occasion
your call may be monitored by a second associate. 

ENTIRE AGREEMENT: This is the entire Agreement between you and
us and no oral changes can be made.

NOTICE TO MICHIGAN RESIDENTS: THE SELLER RETAINS A SECU-
RITY INTEREST IN THE SUBJECT MATTER OF THIS AGREEMENT.

NOTICE: ANY HOLDER OF THIS CONSUMER CREDIT CONTRACT IS
SUBJECT TO ALL CLAIMS AND DEFENSES WHICH THE DEBTOR
COULD ASSERT AGAINST THE SELLER OF THE GOODS AND SERV-
ICES  OBTAINED  PURSUANT  HERETO  OR WITH THE  PROCEEDS
HEREOF, RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT
EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER.

NOTICE TO BUYER/CONSUMER: (a) DO NOT SIGN THIS AGREE-
MENT BEFORE YOU READ IT OR IF IT CONTAINS ANY BLANK
SPACES; (b) YOU ARE ENTITLED TO A COMPLETELY FILLED-IN
COPY OF THIS AGREEMENT AT THE TIME YOU SIGN, KEEP IT TO
PROTECT YOUR LEGAL RIGHTS; AND (c) YOU MAY PAY THE FULL
BALANCE ON YOUR ACCOUNT AT ANY TIME AND UNDER CER-
TAIN CIRCUMSTANCES TO OBTAIN A PARTIAL REFUND OF THE
FINANCE CHARGE. 

SELLER: Rogers Enterprises, Inc. 

d/b/a Rogers & Hollands Jewelers 
P.O. Box 879
Matteson, IL 60443 

NOTICE: See following notice for important information regarding
your right to dispute billing errors.

BILLING RIGHTS SUMMARY

What to do if you think you find a mistake on your statement: If
you think your bill is wrong, if there is an error on your statement or
if you need more information about a transaction on your bill write
us at Rogers & Hollands P.O. Box 879 Matteson, IL 60443.  We
must hear from you no later than 60 days after you received the first
bill on which the error or problem appeared.  You must notify us of
any potential mistakes or error in writing.  You can telephone us, but
if you do we are not required to investigate any potential errors and
you may have to pay the amount in question.  In your letter, give us
the following information:
■ Account information:  Your name and account number.
■ Dollar Amount: The dollar amount of the suspected error.
■ Description of Problem:  If you think there is an error, describe the
error and explain, if you can, what you believe is wrong and why 
you believe it is an error.  If you need information, describe the 
items you are unsure about.

While we are investigating whether or not there has been an error,
the following are true:
■ We cannot try to collect the amount in question, or report you as 

delinquent on that amount.

■ The charge in question may remain on your statement, and we may
continue to charge you interest on that amount.  But, if we deter-
mine that we made a mistake, you will not have to pay the amount 
in question or any interest or other fees related to that amount.  

■ While you do not have to pay the amount in question, you are 

responsible for the remainder of your balance.

■ We can apply any unpaid amount against your credit limit. 

Your rights if you are dissatisfied with your credit     card pur-
chases: If you are dissatisfied with the goods or services that you
purchased with your credit card and you have tried in good faith to
correct the problem with the merchant, you may have the right not
to pay the remaining amount due on the purchase.
To use this right, all of the following must be true:
1.The purchase must have been made in your home state or within 
100 miles of your current mailing address, and the purchase price 
must have been more than $50.  (Note: Neither of these are nec-
essary if your purchase was based on an advertisement we mailed
to you, or if we own or operate the merchant who sold you the goods
or services.  If such is the case, all purchases will be covered, re-
gardless of the amount or location of the purchase).
2.You must have used your credit card for the purchase.
3.You must not yet have fully paid for the purchase.
If all of the above criteria are met and you are still dissatisfied with
the purchase, contact us in writing at: Rogers & Hollands, PO Box
879 Matteson, IL 60443.  While we investigate, the same rules apply
to the disputed amount as discussed above.  After we finish our in-
vestigation, we will tell you our decision.  At that point, if we think you
owe an amount and you do not pay we may report you as delinquent.

PAYMENT REQUIREMENTS: You may, at any time, pay your total in-
debtedness (the New Balance) or any part of it, but you must pay at
least the Minimum Payment Due as of the Payment Due Date shown
on the front of your statement.  Payments shall be made by check or
money order and shall reference your account number.  Payments
may be made by mailing your payment to the address provided for
payments on the front of this statement, via our website or by making
a payment at any Rogers & Hollands store location. Payments must
be received by 5:00 p.m. on the Payment Due Date shown on the
front of this statement.  
Please be advised, if any payment received by Rogers & Hollands does
not conform to the requirements listed above, we have the right to take
up to five days from receipt of such payment to credit it to your account.

CREDIT BALANCES: Any credit balance on your account (indicated
by a “-“ in the New Balance box) is money we owe you.  You can make
charges against this amount, or you may obtain a refund of the full
amount by writing to the address indicated on the front of this state-
ment.  If we do not receive a written request from you to refund the
credit balance, any remaining credit balance over $1.00 on your ac-
count will be refunded 90 days after the end of the billing period in which
the credit balance first appears.

BALANCE COMPUTATION METHOD: The Balance Subject to Interest
Rate was determined by the Average Daily Balance Method (excluding
current transactions).  Please call 1-800-326-4116 if you would like a de-
tailed explanation of this method and how the resulting interest charges
were determined.

Retail
Account
Application

OPEN YOUR 

RETAIL 
ACCOUNT TODAY! 

And enjoy these advantages… 

• Offers Convenient
Monthly Payments 

• Makes Budgeting 

Easier 

• Makes you a 

Preferred Guest –
Keeps you advised 
of Sale Items and 
Special Events

   
47649_RH:R&H 07_24_08  3/8/12  10:14 PM  Page 2

STORE:

RETAIL ACCOUNT APPLICATION 

OFFICE USE ONLY

ACCT. NO.
601801               
STORE USE ONLY  Identification Required: a valid photo ID and a second form of ID from ALL applicants.

SALE AMT.**

*

DOWN PMT./TRADE

NET SALE

Photo ID State

Expiration Date
of Photo ID

ID Verified by:

Applicant Photo ID (check one)

Photo ID#

n Driver’s License
n State ID

n Military ID
n Passport

A 

P 

P 

L 

I 

C 

A 

N 

T

A 

P 

P 

L 

I 

C 

A 

N 

T

J

O

I

N

T

APPLICANT - Please read the following before completing this form: (1) Applicant represents that the information given in this Application is com-
plete  and  accurate  and  authorizes  us  to  check  with  credit  reporting  agencies,  credit  references  and  other  sources  disclosed  herein  in 
investigating the information given; (2) Applicant requests a Credit Card if it is our practice to provide one; (3) Married applicants may apply for
an individual Account; (4) Applicant represents that this Account will only be used for personal, family or household purposes; (5)**Sale amount -
this figure does not reflect the amount of credit applied for; it reflects purchase price of merchandise only. READ THE ATTACHED AGREEMENT
AND SIGN BELOW BEFORE SUBMITTING YOUR APPLICATION.

First Name

M.I.

Last Name

D.O.B.

SSN

Street Address

City

State

Apt. #

Zip

E-Mail Address

Relative

Do You: (Check One)

Mortgage Company

n Own n Rent n Other

How Long

Home Phone

_____Yrs.   _____Mos.

(            )

Relative Phone

(            )

Place of Employment

How Long

Phone

Total Gross Monthly Income From all Sources*

*Alimony, child support or separate maintenance income need not be disclosed unless relied upon for credit.

First Name

M.I.

Last Name

D.O.B.

SSN

_____Yrs.  _____Mos.

(            )

$

Street Address

City

State

Apt. #

Zip

Home Phone

(            )

D.L. #

Place of Employment

How Long

Phone

Total Gross Monthly Income From all Sources*

_____Yrs.  _____Mos.

(            )

$

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 applicant’s request, we will inform applicant of the name and address of each consumer reporting agency from
which we obtain a consumer report, if any, relating to applicant and joint applicant. Wisconsin Residents: No provision of a marital property agree-
ment, a unilateral statement under Sec. 766.59, Wis. Stats., or a court decree under Sec. 766.70, Wis. Stats., adversely affects the interest of the
creditor unless before credit is granted, the creditor is furnished a copy of the agreement, statement or decree or has actual knowledge of the
adverse obligation when the obligation to the creditor is incurred. 

We are required to ask married residents of Wisconsin who have applied for individual credit to give us the following information: 

Name of Spouse: __________________________________________   Address of Spouse: _________________________________________ 

ACKNOWLEDGEMENT OF RETAIL ACCOUNT AGREEMENT (“AGREEMENT”)

PLEASE SIGN BELOW 
By signing below, I certify that I have received and read and agree to the RETAIL ACCOUNT AGREEMENT attached. 
I agree to be bound by its terms and conditions, and I grant a security interest in the goods I purchase on my account.

Applicant’s Signature

Date

Joint Applicant’s Signature

Date

This application and agreement were printed in April 2012 and are accurate as of that date but may have been changed after that date. 
To find out what may have changed, write us at Rogers & Hollands, P.O. Box 879, Matteson, IL 60443. 

CREDIT USE ONLY
Authorizer

App Id

Sys Rec

Decision

Decisioner’s Name

Home #

Work #

Reason Sys Overturned

Call Back Time

Processing Time

This Is Your Copy, Please Retain It For Your Records 
IMPORTANT INFORMATION

INTEREST RATES AND INTEREST CHARGES
ANNUAL PERCENTAGE RATE (APR) FOR
PURCHASES

18.00%    24.99%

to

Please see “APR by State” listed in our Retail Account Agreement to determine your APR

when you open your account, the APR varies by state.

HOW TO AVOID PAYING INTEREST ON
PURCHASES

Your due date is at least 26 days after the close of each billing cycle. We will not charge you any interest
on your purchase if you pay your entire balance by the due date each month.

MINIMUM INTEREST CHARGE

If you are charged interest, the charge will be no less than $.50. **

FOR CREDIT CARD TIPS FROM THE FEDERAL
RESERVE BOARD
FEES
ANNUAL AND MAINTENANCE FEES

To learn more about factors to consider when applying for or using a credit card, visit the website of the
Federal Reserve Board at http://www.federalreserve.gov/creditcard

*ANNUAL FEE

None

*ACCOUNT MAINTENANCE FEE

Up to $23.88 annually (up to $5.00 per month when you carry a balance).

PENALTY FEES

*LATE PAYMENT

*RETURNED PAYMENT

Up to $35.00, the late payment fee varies by state. Please see “Late Payment Fee by State” listed in
our Retail Account Agreement to determine the appropriate late payment fee.

Up to $30.00, the returned payment fee varies by state. Please see “Retured Check Fee by State”
listed in our Retail Account Agreement to determine the appropriate returned payment fee.

How we will calculate the balance on which your finance charges are computed: We use a method called “Average Daily Balance (excluding new purchases).”
Billing Rights: Information on your rights to dispute transactions and how to exercise those rights is provided in our Retail Account Agreement.
Effective Date: This information was printed April, 2012. This information is accurate as of this date and is subject to change at any time. You should contact Rogers
& Hollands at 1-800-326-4116 to determine if there are any changes to this information since April, 2012.
ROGERS & HOLLANDS
RETAIL ACCOUNT AGREEMENT

E
R
E
H
H
C
A
T
E
D

TERMS USED IN THIS AGREEMENT: In this Retail Account Agreement
(the”Agreement”), the words “we”, “us” and “our” mean the Seller identified
at the end of this Agreement and any person to whom this Agreement or
the indebtedness under this Agreement may be assigned, the words “you”
and “your” mean each Applicant, including Joint Applicant, who is approved
by  us  for  this  Retail  Account  (the  “Account”).  This  Account  and  all 
purchases made on it are not binding on us until your credit is approved.
Your credit will be considered approved when we give notice of approval
to you and, if applicable, upon your signing a Sales Invoice for purchases
for which we have extended credit. 

PROMISE TO PAY: In consideration of our granting credit on this Account,
you promise to pay us the purchase price of purchases charged to this Ac-
count  by  you  or  anyone  authorized  by  you  from  time  to  time  and  any 
Finance Charge (as defined above) and other amounts due under the
terms of this Agreement. When there is a balance due on your monthly
billing statement (the “Statement”), you agree to pay, in time for receipt by
us within twenty-six (26) days after the billing date (the “Due Date” shown
on the Statement), either (a) the total  balance due or (b) at least the 
Minimum Monthly Payment shown on the Statement. 

APR BY STATE: When there is a balance subject to Finance Charge on
your Account, you will be assessed an Annual Percentage Rate (APR) on
this balance as follows:  Illinois – 24.99%, Indiana – 21.00%, Kentucky –
24.99%, Michigan – 24.99%, Minnesota – 18.00%, Missouri – 24.99%,
Ohio – 24.99%, Tennessee – 21.00% and Wisconsin – 24.99%. 

LATE PAYMENT FEE BY STATE: You agree to pay a Late Payment Fee on
each installment not paid as follows: Illinois – Up to $10.00 assessed 10 days
after payment due date, Indiana – Up to $5.00 assessed 10 days after payment
due date, Kentucky – Up to $10.00 assessed 10 days after payment due date,
Michigan – Up to $39.00 assessed 10 days after payment due date, Minnesota
– Up to $5.00 assessed 10 days after payment due date, Missouri – Up to $5.00
assessed 10 days after payment due date, Ohio – Up to $39.00 assessed as
of payment due date, Tennessee – Up to $39.00 assessed as of payment due
date, and Wisconsin – Up to $39.00 assessed as of payment due date.

RETURNED CHECK FEE BY STATE: You agree to pay a Returned Check
Fee if any check or instrument for payment on your Account is returned to
us unpaid as follows:  Illinois – Up to $25.00, Indiana – Up to $25.00, 
Kentucky – Up to $25.00, Michigan – Up to $25.00, Minnesota – Up to
$30.00, Missouri – Up to $15.00, Ohio – Up to $30.00, Tennessee – Up to
$30.00 and Wisconsin – Up to $30.00.

**A minimum finance charge will not be assessed in Wisconsin.

BALANCE SUBJECT TO FINANCE CHARGE: The balance subject to 
FINANCE CHARGE in any given billing period is the average daily balance
which is arrived at by adding the daily balances in the Account during the
billing period. The daily balances are determined by taking the beginning
balance each day during the billing period and subtracting any payments
and credits entered on that day. New purchases do not begin to accrue a 

FINANCE CHARGE until the first day of the billing period following the pur-
chase  date,  and  no  FINANCE  CHARGE will  be  assessed  on  such 
purchases if they are paid within twenty-six (26) days of the first billing date
following the date of purchase. Late Payment Fees are not included in the
balance subject to FINANCE CHARGE. 

EXPEDITED PAYMENT FEE: A charge of $5.00 will be assessed for pay-
ments made over the phone with one of our service representatives using
a checking account.  A charge of $10.00 will be assessed for payments
made over the phone with one of our service representatives using a debit
or credit card.  This charge will not be assessed against residents of Ken-
tucky or Tennessee. 

MINIMUM MONTHLY PAYMENT: You agree to pay a Minimum Monthly
Payment each time we send you a Statement plus any past due amount(s).
The Minimum Monthly Payment will be 3.5% (rounded to the next highest
dollar) of the outstanding “New Balance” on the Account as shown on the
statement, or $30.00 whichever amount is greater. You may at any time
pay your “New Balance”, but you must pay at least the Minimum Monthly
Payment.  Payment  on  your  Account  must  be  made  by  cash,  check  or
money  order  in  U.S.  currency.  Any  cash,  check  or  money  order  in  a 
denomination  of  foreign  (not  U.S.)  currency  will  nor  be  credited  until 
converted into U.S. funds, and you agree to pay any amount remaining
due and owing after conversion to U.S. funds. 

SECURITY INTEREST: We retain a purchase money security interest in
all merchandise purchased on your Account until the account is paid in
full. If you do not make your Minimum Monthly Payment on time, we may
repossess only the merchandise which has not been paid in full to the 
extent permitted by law. We will apply and allocate payments and credits
among features and to Charges and transactions on your Account in any
order and manner determined by us in our sole discretion for servicing,
administrative, systems or other business reasons. You agree that we have
the unconditional right to exercise this discretion. 

CHANGES  IN THIS  AGREEMENT: We  may  change  any  term  of  this
Agreement, including the rate of FINANCE CHARGE, by furnishing you
notice of the change to the extent required by law. If permitted by applica-
ble law, any new terms may at our option be applied to any balance exist-
ing in the Account at the time of change, as well as to any subsequent 
transactions. 

FAILURE TO MAKE MINIMUM PAYMENT: If you do not make at least the
Minimum Monthly Payment when due, we may, subject to any notice of 
default  and  right  to  cure  default  required  by  state  law,  require  you  to 
immediately pay the full remaining balance (except in Wisconsin, where you
will not be in default until you fail to make a Minimum Monthly Payment on
two (2) occasions within a 12-month period). You agree to pay court costs
and reasonable attorneys’ fees to the extent permitted by your state law if
your Account is sent for collection to an attorney who is not our salaried
employee (except no attorneys’ fees will be imposed in Wisconsin).

R10 04/12

5232 (04/12) 48-4 F.D. 

R10 04/12

5232 (04/12) 48-4 F.D.