Special Offers

Shown here is a sample of the Mohawk Credit Application. Approved Mohawk credit
allows you the flexibility of choosing a promotional payment plan that could save
you money on your purchases.

You may print and complete this application, then mail or fax it to Don Greer's
Fashion Floors to get a head start on your credit approval process. The terms of
the credit agreement are available at the store, or we can mail or fax them to you
for your convenience. Please contact us if you have any questions.

MOHAWK CREDIT APPLICATION
APPLICANT INFORMATION
1.	MOTHER'S MAIDEN NAME (FOR SECURITY PURPOSES)
2.	APPLICANT NAME (FIRST, MIDDLE, LAST)
3.	DATE OF BIRTH
4.	SOCIAL SECURITY NO.
5.	DRIVER'S LICENSE NO.	STATE OF ISSUANCE	EXPIRATION DATE
6.	PRESENT ADDRESS

7.	TIME AT ADDRESS (YEARS / MONTHS)
8.	PREVIOUS ADDRESS (IF LESS THAN ONE YEAR AT PRESENT ADDRESS)
9.	HOME PHONE NO.
10.	NAME OF PRESENT EMPLOYER
11.	MONTHLY NET INCOME FROM ALL SOURCES*
12.	PRESENT EMPLOYER'S PHONE NO.
13.	TIME AT PRESENT JOB (YEARS / MONTHS)
15.	NAME OF NEAREST RELATIVE NOT LIVING WITH YOU	RELATIONSHIP	RELATIVE'S PHONE NO.
16.	HOUSING INFORMATION (CHECK ONE): ___LIVE WITH FRIEND/RELATIVE ___OWN ___RENT
17.	MORTGAGE / RENT PAYMENT
	*ALIMONY, CHILD SUPPORT OR SEPARATE MAINTENANCE INCOME NEED NOT BE DISCLOSED UNLESS RELIED UPON FOR CREDIT.

CO-APPLICANT INFORMATION (COMPLETE ONLY IF JOINT CREDIT)
1.	CO-APPLICANT NAME (FIRST, MIDDLE, LAST)
2.	DATE OF BIRTH
3.	SOCIAL SECURITY NO.
4.	DRIVER'S LICENSE NO.		STATE OF ISSUANCE	EXPIRATION DATE
5.	PRESENT ADDRESS (IF DIFFERENT FROM ABOVE)
6.	HOME PHONE NO.
7.	NAME OF PRESENT EMPLOYER
8.	MONTHLY NET INCOME FROM ALL SOURCES*
9.	PRESENT EMPLOYER'S PHONE NO.
	*ALIMONY, CHILD SUPPORT OR SEPARATE MAINTENANCE INCOME NEED NOT BE DISCLOSED UNLESS RELIED UPON FOR CREDIT.
	SIGNATURE OF APPLICANT	DATE	SIGNATURE OF CO-APPLICANT (IF APPLICABLE)	DATE