Please fill out this form completely. A W-9 form is required for all participants and Visa® Reward Card cannot be sent until it is received. If you move or your name changes, update your account information by email. info@jordanspencer.com

Visa Reward Card cannot be sent to you until your W9 has been filled out and submitted. Forms may be faxed to 702.433.8154, emailed to info@jordanspencer.com, or mailed to
Jordan Spencer
Las Vegas Design Center
455 So Grand Central Parkway C-188
Las Vegas, NV 89106

The Visa Reward Card is issued by The Bancorp Bank pursuant to a license from Visa U.S.A. Inc. and can be used wherever Visa debit cards are accepted.  The Bancorp Bank; Member FDIC.
Jordan Spencer reserves the right to modify, append, or end the program at any time.

All information submitted is confidential and will not be sold or shared outside of Jordan Spencer.