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MOISTEN HERE
APPLICANT INFORMATION

The ATaT Card
...the fast,
easy way to cal
long distance-from
anywhere to anywhere,
The AT&T Card i, 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 50g, 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 mailing 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.

Please Print

Applicant's Full Name (Last, First, Middle) Dateof Birth Social SecurityaNumber
Street Address (college) Apt# City State Zip Code
Telephone Number (college) How long at address Number of Dependents
Including Spouse
College Telephone is in
Q own name Q roommate's name L 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.
Aeyou a Citizenship
U.S. Citizen? Q Yes Q No
COLLEGE AND EMPLOYMENT INFORMATION
College Name Student Status
QUFuillTime QUFr LQIJr LQGrad
Q Part-Time Q Soph U Sr
Major Graduation Date Degree: I Associate Degree
Q Bachelor
Q Graduate
Student Housing Monthly Housing
Q Dorm Q Rent-House/Apt Q Own Q Parents Payment
L Fraternity/Sorority Q Relatives Other $
Present Employer Present Position How long? Monthly Income
From Present Job
___yrs. moo. $
Source of Other Income Q Grant, Scholarship Annual Amount
(check any which apply) Q Summer Job of Other Income
Q Allowance
SOther(identify) $
FINANCIAL INFORMATION
Credit references (include charge accounts, installment contracts, fnance 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 $ $
] Checking Q Both Checking Bank Name City State
Q Savings & Savings
Q Checking Q Both Checking Bank Name City State
I 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

"""
AT&T
The right choice.

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 Account 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
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?_

Date

© 1986 AT&T

9/86 CIE
J 1986 AT&T