Credit Card Application

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Account Information
Account Ownership: Individual
Joint
Card Type: Visa Classic
Visa Gold

*Limit Requested


Applicant Information
*Name (First M. Last)
*Date of Birth (mm/dd/yyyy)
*Social Security Number:
*Member Number:
*Driver's License Number   *State
*E-mail
*Address
*City, State Zip ,
Residential Status: Own
Rent
Other
*Length at Current Address: years
*Monthly Payment: $
*Home Phone Number ( ) -
*Employer
*Job Title
*Work Address
*City, State ,
*Zip
*Work Phone Number ( ) -
*Gross Monthly Income

Co-Applicant Information Information
Name (First M. Last)
Date of Birth (mm/dd/yyyy)
Social Security Number
Driver's License Number   State
E-mail
Address
City, State Zip ,
Residential Status: Own
Rent
Other
Length at Current Address: years
Monthly Payment: $
Home Phone Number ( ) -
Employer
Job Title
Work Address
City, State ,
Zip
Work Phone Number ( ) -
Gross Monthly Income

Credit Disclosures
A finance charge will be imposed on credit purchases only if you elect not to pay the entire new balance shown on your monthly statement for the previous billing cycle within 25 days from the closing date of that statement. If you elect not to pay the entire new balance shown on your previous monthly statement within that 25 day period, a finance charge will be imposed on the unpaid average daily balance of such credit purchases from the previous statement closing date and on new credit purchases from the date of posting to your account during the current billing cycle, and will continue to accrue until the closing date of the billing cycle preceding the date on which the entire new balance is paid in full or until the date of payment if more than 25 days from the closing date. The finance charge for a billing cycle is computed by applying the monthly periodic rate to the average daily balance of credit purchases, which is determined by dividing the sum of the daily balances during the billing cycle by the number of days in the cycle. Each daily balance of credit purchases is determined by adding to the outstanding balance of credit purchases at the beginning of the billing cycle; any new credit purchases posted to your account, and by subtracting any payments received and credits posted to your account, but excluding any unpaid finance charges.

A finance charge will be assessed on cash advances from the date of the cash advance or the first day of the billing cycle in which the cash advance is posted, whichever is later, and will continue to accrue until payment in full is made. Cash advances will be calculated in the same manner as explained for credit purchases.

VISA Disclosure
ANNUAL PERCENTAGE RATE
for purchases
Secured VISA 7.9%   Student VISA 14.9%
VISA Gold       9.9%
VISA Classic 14.9%
ANNUAL PERCENTAGE
RATE
for cash advances
Secured VISA 7.9%   Student VISA 14.9%
VISA Gold       9.9%
VISA Classic 14.9%
Penalty ANNUAL
PERCENTAGE RATE
18.0%
(if 60 days or more late within any 12 month period)
Grace Period For Repayment of
Purchases
25 DAYS
Method of Computing the
Balance for Purchases
AVERAGE DAILY BALANCE
(includes new purchases)
Annual Fee NONE
Minimum Finance Charge NONE
Transaction Fee for Cash
Advances
NONE
Balance Transfer Fee NONE
Over-the-Limit Fee $25.00 (when amount exceeds 5% of approved limit)
Late Payment Fee 20% of interest due, with minimum of $.05 each payment
VISA Charge Photocopy $5.00
Statement Photocopy $5.00 per monthly period
Card Recovery Fee $65.00
Card Replacement $10.00
PIN Replacement $3.00
Inactive Account Fee $12.00 (no activity for 12 months)
The information in this disclosure is accurate as of March 1, 2002.
This information may have changed since that date. To find out about possible changes in the information, you may write us at the address above or call us at 202-488-5400.
NOTE: The Grace Period is calculated from the statement closing date to the payment due date.
Transfer Balance
Upon approval, I wish to transfer my present balance on the credit card account(s) listed below to my new credit card account.
Visa Account No.
MasterCard Account No.


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