Thle JAT&Tr Curdl .. .the fast, easy way to call long distance-from anywhere to anywhere, The AT&T Card Ii it to a third party. makes keeping in touch Traveling? Take along with friends and family a your AT&T Card to help lot more convenient when you're at school. you stay in touch on-the-road. Call from You'll be able to get through on coast to coast and even overseas...and public and private phones-on campus enjoy long distance connections that or off-without bothering with coins. sound as close as you feel. And you'll actually save up to 50, com- As you can see, the AT&T Card pared to AT&T coin, collect, or third- eliminates all kinds of hassles. And party state-to-state calls. In fact, for you can get one even if you don't have most calls, it's our lowest rate next to a phone in your own name. Put The direct dialing. And there's no charge to Eliminator to work for you. Sign up order the Card; no minimum usage fee. for your AT&T Card by completing You can use your Card to make and malling the attached postage-paid calls from other people's rooms: the application. For more information, charge will show up on your bill, not call toll free 1 800 CALL ATT, theirs. No need to call collect or charge Ext. 47. AT&T The right choice. 0 MOISTEN HE ADDI P ATLIT fDAN MTiN 0 Plaee Prlin pease rr'nT r t n yim Applicant's Full Name (Last, First, Middle) Date of Birth Social Security Number Street Address (college) Apt# City State Zip Code Telephone Number (college) How long at address Number of Dependents ( ) yrs. mos. Including Spouse College Telephone is in I own name Q roommate's name Q spouse's name Q do not have a phone in my room Q Other Name of Parent/Guardian Address City State Zip Code Parent/Guardian Telephone No. ( ) Are you a Citizenship U.S. Citizen? L Yes Q No COLLEGE AND EMPLOYMENT INFORMATION College Name Student Status Q FulliTime LQIFr LQ/Jr QiGrad L Part-Time L Soph L Sr Major Graduation Date Degree: L Associate Degree Li Bachelor LiGraduate Student Housing Monthly Housing L Dorm L Rent-House/Apt L Own L Parents Payment L Fraternity/Sorority L Relatives Other $ Present Employer Present Position How long? Monthly Income From Present Job ___yrs. moo. $ Source of Other Income L Grant, Scholarship Annual Amount (check any which apply) Li Summer Job of Other Income Li Allowance Q Other (identify) $ FINANCIAL INFORMATION Credit references (include charge accounts, installment contracts, finance co., credit cards, rent, etc.). Give complete list of all amounts owing.________ __________ Monthly Name of Creditor City/State Type of Account Payments Balance Due Student Loan Financed by $ $ Auto/Motorcycle (Yr. & Model) Financed by $ $ Other Obligations $ $ Li Checking Qi Both Checking Bank Name City State Qi Savings & Savings Qi Checking LQ Both Checking Hank Name City State Qi Savings & Savings ADDRESS WHERE YOU WANT BILL MAILED-Card will be mailed to this address Address Box # City/State Zip Phone where you may be reached I agree to pay for charges to the account in accordance with the terms of the applicable tariffs as explained in the AT&T Card Accoust Agreement which AT&T will send me when my application is approved. I understand that my AT&T Card Account is subject to a maximum monthly usage limit of $100. I understand that once the monthly usage limit is reached, my AT&T Card may be deactivated until payment is received. I am aware that information gathered about me will be assessed to determine my eligibility for the AT&T Card Account. If I ask, I will be told whether or not consumer reports on me were requested and the names and addresses of the credit bureau that provided the reports. I am aware that I must notify AT&T of any address changes. SIGNATURE: X Date A LcI- - Note: In order to be considered for an AT&T Card, you must complete and sign this application. Omission of any of the information requested in this application may be grounds for denial. FOR RESEARCH ONLY During an average month how much do you spend on long distance telephone calls to places outside your area code?_ © 1986 AT&T 9/86 CIE C 1986 AT&T