SPECIAL SAVINGS FOR EMPLOYEES OF
To qualify for this offer, please:
1. Complete this application in full and return it to your Organization Rep at the address below. Please include a check or credit card
payment for the full amount.
2. New Members: Your Membership Activation letter will arrive in 3 4 weeks. Bring it, along with photo ID, to the Member Services
Desk at a Club near you to receive your Membership Card.
Organization Rep: ____________________________________________________________ Contact Number: __________________
Offer Expires: _____________________ Address: ____________________________________________________________________
Current Membership # (if applicable) ________________________________________________________________________
Last Name __________________________________ First Name _____________________________ MI _____ Sex
F M
Mailing Address __________________________________________________________________________________________
City ________________________________________________ State ____________________ ZIP Code _________________
Phone # _________________________________ Market Code
(BJ’s use only) ___________________
Email ___________________________________________________________________________
If you choose to receive the second Household Membership Card, please complete the following:
(Note: Household Cardholder must reside at
the same address as the Primary Cardholder.)
Last Name ___________________________________ First Name _________________________________ MI ___________
Primary Signature — I understand that I am responsible for any checks and actions of the second Cardholder.
_________________________________________________________________________________
Please choose your method of payment. (Sales tax may be added. Make checks payable to BJ’s Wholesale Club, Inc.)
Check My BJ’s Perks®
Mastercard® Mastercard® American Express®
Discover® Network Visa®
Credit Card Account #__________________________________________________ Expiration Date ___________ Total Charge____________
Date of Membership Purchase
/ /
Month Day Year
Choose Membership Level: BJ’s Inner Circle® Membership ___________ BJ’s Perks Rewards® Membership ________
Learn more about My BJ’s
Perks
®
Mastercard
1
®
credit card
by visiting BJs.com/mybjsperks
Membership Expiration and Renewals: Your Membership expiration date is the last day of the month and year shown on your register receipts and on your “My Account” page on BJs.
com. Paid Memberships renewed within two months after expiration will be extended 12 months from the expiration date.
*BJ’s Inner Circle Membership fee is regularly $55; BJ’s Perks Rewards Membership fee is regularly $110. Offer is valid in-Club only, may not be combined with other offers, not redeemable for cash and nontransferable. Plus sales tax
where applicable. Offer is contingent upon your enrolling in BJ’s Easy Renewal, and you authorize BJ’s to charge the debit/credit card first used at BJ’s after accepting this offer, an annual recurring charge in the amount of the then-
current Membership fee for all active Memberships on your account, plus tax where applicable, on the first day of the month your Membership expires. Expires: 5/4/19.
**BJ’s Perks Rewards Members earn 2% cash back on most BJ’s purchases. Cash back is in the form of electronic Awards issued in $20 increments that are used at checkout at BJ’s and expire 6 months from the date issued. Cash back
can be requested in the form of a check prior to Awards expiring by contacting Member Care at 800-BJS-CLUB. My BJ’s Perks Program is provided by BJ’s Wholesale Club, Inc. and its terms may change from time to time. Some exclusions
may apply. Visit BJs.com/perksterms for Program Terms.
1
My BJ’s Perks Mastercard credit card is subject to credit approval.
My BJ’s Perks Mastercard is issued by Comenity Capital Bank, pursuant to a license by Mastercard International Incorporated. Mastercard is a registered trademark of Mastercard International Incorporated.
©2019 BJ’s Wholesale Club, Inc. 21454820
BJ’s Use Only
BJ’s Sales Representative’s Signature: __________________________________________________________________ Club # __________
All applications are sent to our Home Office; processing takes approximately 3 – 4 weeks.
All BJ’s Memberships are subject to BJ’s current Membership Terms, ask in-Club or go to BJs.com/terms.
Special New
Member Offers
BJ’s PERKS REWARDS
®
MEMBERSHIP — Just $50*
Save $60 on a 12-Month BJ’s Membership with BJ’s Easy Renewal.
®
Earn 2% cash back on most BJ’s purchases**
BJ’s INNER CIRCLE
®
MEMBERSHIP — Just $25*
Save $30 on a 12-Month BJ’s Membership
with BJ’s Easy Renewal
Renewing
Member Offers
BJ’s PERKS REWARDS
®
MEMBERSHIP — Just $80*
Save $30 on a 13-Month BJ’s Membership with BJ’s Easy Renewal.
Earn 2% cash back on most BJ’s purchases**
BJ’s INNER CIRCLE
®
MEMBERSHIP — Just $40*
Save $15 on a 13-Month BJ’s Membership
with BJ’s Easy Renewal
or
or
21454820_CorpRep_Application_R7_FINAL.indd 1 2/1/19 10:45 AM
RENEWAL MEMBERS ONLY !!! - SUNY Poly Tech
Susan Fitzgerald Culkin
sculkin@bjs.com
2/28/20
BJs Wholesale Club #64, 400 River Road Rear, Utica, NY 13502
$43.50
$87.00
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