ALPHAEON Credit Account Application

Step 1: Application

Credit Card

Cardmember Benefits:

  • Special financing everyday on purchases of $250 or more*
  • Credit limits up to $25,000
  • Easy online application

*See All Benefits

Your Personal Information

-Select One-

Why do you need my Social Security number?

We use this information to verify your identity and obtain credit bureau information.

Why do you need my income?

In order to comply with federal law, and to determine factors such as your credit limit, we consider your ability to meet the payment obligations associated with this account. Your income information is part of that consideration.

If you do not wish to have alimony, child support and/or separate maintenance income considered as a basis for repaying this obligation, please do not include it in your Annual Income amount. Married WI Residents only: If you are applying for an individual account and your spouse also is a WI resident, combine your and your spouse's financial information.

Intended Purchase Amount is the amount you plan to spend on your first purchase with this credit card, if you submit an application and your application is approved. Enter as a dollar amount with no dollar sign or decimal like this: 2000 for $2,000.00

Contact Information

PO Box mailing addresses are not accepted.
-Select One-

By providing your contact information, including any mobile or other phone numbers, you agree to be contacted regarding any of your Comenity Bank or Comenity Capital Bank accounts via calls to cell phones, text messages or telephone calls, including the use of artificial or pre-recorded message calls, as well as calls made via automatic telephone dialing systems or via email.

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The ALPHAEON CREDIT Card account

Cardmember Benefits:

Patient Financing with Board Certified Plastic Surgeons and Dermatologists

  • Special financing1 everyday on purchases of $250 or more
  • Credit lines up to $25,000
  • Online application process with instant approvals


Alphaeon Credit offers many types of financing options. Not all plans are available in all physicians' offices, and additional plans may be offered. Ask your physician's office for more details.

Deferred Interest Plans
6 or 12 Month Deferred Interest Plans– No interest if paid in full within 6 or 12 months. Interest will be charged to your account at the standard APR of 28.99% from the purchase date if the purchase balance is not paid in full within the 6 or 12 month promotional period or if you make a late payment.2
Equal Payment Plans
12, 24, 36, 48, or 60 Month Equal Payment Plans– 14.99% APR if paid in full in 12, 24, 36, 48, or 60 months. If the balance is not paid in full in 12, 24, 36, 48, or 60 months, regular credit terms will apply and interest will be imposed from the end of the promotional period at the standard APR of 28.99%.3

1Promotional financing available with ALPHAEON CREDIT Card Accounts offered by Comenity Capital Bank which determines qualifications for credit and promotion eligibility. Minimum purchase and minimum monthly payments are required.

2To avoid late fees, you must make your Total Minimum Monthly Payments by the due date each month. The Minimum Monthly Payments may or may not pay off the promotional purchase before the end of the promotional period. To make sure you are not charged the interest accrued at a standard APR of 28.99%, you must pay the total promotional purchase amount within the promotional period. Required minimum purchase of $250 for the 6 month plan and $500 for the 12 month plan.

3If the balance is not paid in full in 12, 24, 36, 48, or 60 months, regular credit terms will apply and interest will be imposed from the end of the promotional period at the standard, APR of 28.99%. Minimum monthly payments for these plans during the promotional period will be the greater of: the amount of the purchase, including the calculated interest charges that will be assessed from the date of purchase through the end of the promotional period, divided by the number of months in the promotional period, (rounded up to the nearest $1.00); or $5.00. Required minimum purchase of $999 for 12 month plan, $1,000 for 24, 36, and 48 month plans, and $2,500 for 60 month plan.

Subject to credit approval and availability. Purchase must be made using ALPHAEON CREDIT Card Accounts, offered by Comenity Capital Bank which determines qualifications for credit and promotion eligibility. Account must be in good standing at the time of purchase. At no time will the minimum payment due be less than $27. Minimum Interest Charge is $2.00 per credit plan. Standard APR of 28.99%.

If you are interested in the ALPHAEON CREDIT Card that can be used with Board Certified Ophthalmologist and Optometrist, please visit


Reward Terms and Conditions

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Important Information About Your Credit Report.

What is a credit report?  A credit report is a record of your credit history. It includes information about whether you pay your bills on time and how much you owe to creditors.

How did we use your credit report?  We used information from your credit report to set the terms of the credit we are offering you, such as the Annual Percentage Rate. The terms offered to you may be less favorable than the terms offered to consumers who have better credit histories.

What if there are mistakes in your credit report?  You have a right to dispute any inaccurate information in your credit report. 

If you find mistakes on your credit report, contact the consumer reporting agency listed below, which is the agency from which we obtained your credit report. It is a good idea to check your credit report regularly to make sure the information it contains is accurate.

How can you obtain a copy of your credit report?  Under federal law, you have the right to obtain a copy of your credit report without charge for 60 days after you receive this notice. To obtain your free report, contact:

How can you get more information about credit reports? For more information about credit reports and your rights under federal law, visit the Federal Reserve Board's web site at or the Federal Trade Commission's web site at

What you should know about credit scores. Your credit score is a number that reflects the information in your credit report. Your credit score can change, depending on how your credit history changes.

Your credit score as of 10/19/2019: 0


We used your credit score to set the terms of credit we are offering you. In the scoring system we used, scores can range from 479 to the best possible score, 898. Please be aware, there are a number of different credit scoring systems available, and each uses a different range of numbers.

Here are the most significant factors in determining your score:

If you have questions about the factors impacting your credit score, we encourage you to contact the consumer reporting agency listed in this letter.


Your Temporary Account

Credit Card
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Name: Temporary Account Number: CVC/CVV: Expires On: Temporary Credit Limit: $0 Please sign here:
This temporary card is not valid until signed.

Know how to use your temporary account

You may use your Temporary Shopping Pass as if it were your actual credit card with the following restrictions - once any of the limitations below are met, your temporary account number will no longer be valid for use:

  • You may use this Temporary Shopping Pass for up to
  • A single transaction cannot exceed $0.00
  • You may use the Temporary Shopping Pass for up to 0 transactions

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