JUNIORS, SENIORS & GRADS
COLLEGE CREDIT
WITH CITIBANK'S SPECIAL COLLEGE PROGRAM
I
A Citibank MasterCard® or Visa card is a great
way to get some extra credit.
And fulfilling the prerequisites is a snap. 'lb -
apply, just complete and mail the attached appli-
cation along with a photocopy of your validated
College I.D. Here's what your card can do
can repay cash advances or purchases in full or in
convenient monthly payments.
for you...
On campus,
you can use your
card for books, sup-
plies, and clothing.
Even to register for a
class. And every time
you do, you'll earn
valuable CitiDollar$*
for guaranteed sav-
ings on brand-name
merchandise.
On the go, you
OIT-BAN(@
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C i ' j 4 87
C T EOPH T
On the road,
your Citibank card
is accepted at over
5 million establish-
ments in 96 coun-
tries. And arranging
airline tickets and
car rentals with
your card is a
breeze.
And while you're
building credits
toward graduation,
you'll be building a good credit history that
will help you long after you graduate-
when you're financing major purchases
like a car, house or boat.
can get cash advances up to $300 at over 9,400 cash Apply today for a Citibank MasterCard or Visa
machine locations nationwide or at over 110,000 par- card. Remember, you only qualify for this special college
ticipating financial institutions worldwide. And you program while you're a student! 4
JUNIORS, SENIORS & GRADS
SEND US A PHOTOCOPY OF YOUR COLLEGE I.D. WITH THIS APPLICATION,
AND A CITIBANK CARD COULD BE YOURS!
Please print clearly in ink. SELECT ONE: LCITIBANK MASTERCARD U CITIBANK VI
PLEASE TELL US ABOUT.YOURSELF
Print full name First Middle Initial Last
as you wish it to I I I' I I I '
appear on card I
Social Security Number Age Dateof Birth
-.~ .. 1 1 1 -1
1 1 - 1 1 1 -1 1 1
Permanent
Address
City Town State Zip Code
or Post Office
Permanent
Phone (
and Area Code
Name of Close Relative
or Guardian
Relative's Home Phone
and Area Code (I \ ' _
(even if overseas)
ADDITIONAL INFORMATION
Annual Source(s): Q Allowance/Savings
Income' D Salary/Stipend
H Summer Job
Name of Employer (Present,
Future or Previous/Summer)
Employer Telephone \I
and Area Code
Checking Account Number Bank Name
(Joint or Individual)
Savings Account Number Bank Name
(Joint or Individual)
Name of Lender (Loan or Credit Card) Account Number(s)
'You need not include spouse's income, alimony. child support or
separate maintenance payments paid to you if you are not relying on
them to establish credit worthiness.
:: J ! : eV n1 'A "I.' P i,#, :I *i i : .I. I.1 TN I
Name of School (do not abbreviate) Branch
Your Address at School
(If different from
permanent address)
City, Town State Zip Code
or Post Office
Your Phone Number Ext.
and Area Code (
at School kI
Fresh H Soph H Jr H Sr H Grad Student H Faculty/Staff
H Other______ ___
Major H Full-Time Student
H Part-Time Student
Address to Which You Want Your Card H Permanent
and Billing Statement Mailed H School
VERIFICATION INFORMATION
Please include a copy of ONE of the following:
H Student ID with current enrollment sticker OR
H Paid tuition bill for current semester"
"Name and date must appear on documentation.
DETACH, SIGN & MAIL TO:
CITIBANK (SOUTH DAKOTA), N.A.
P.O. BOX 6038
SIOUX FALLS, SD 57117-6038
SA
PLEASE SIGN THIS AUTHORIZATION
By signing below I authorize Citibank (South Dakota), N.A. to check my
credit istory andexchange information about howl handle my accountwith
proper persons and with credit bureaus ill am issued a card. Iauthorize my
employer, my bank, and any other references listed above to release and or
verify information to Citibank (South Dakota), N.A. and its affiliates in order
to determine my eligibility for the Citibank credit card. I am aware that mt
m..ario gathered about me is used to determine my eligibility for the cre
card account and any renewal or future extension of credit. If ask. I will be
told whetheror notconsumer reportson me were requested and the names
of the credit bureaus, with their addresses, that provided the reports. IllI des-
ignate an authorized user to use m card, I understandthat account informa-
tion will also be reported to credit bureaus in the authorized user's name. I
certify that I am 18 years of age, orolder, and that the information provided is
accurate. I understand that ift use the card or authorize its use or do not can-
cel my account within 30 days after I receive the card, the Citibank Agree
ment sent to me with the card wilt be binding on me. THE ANNUAL M EM-
BERSHIP FEE is $20. The ANNUAL PERCENTAGE RATE for cash
advances and purchases is 19.8%. There is a minimum Finance Charge of
50c for each billing period in which a Finance Charge based on a periodic
rate ispayable. GRACE PERIOD: You will not be assessed afinance charge
if you payyourbill in full by payment due date (as shown on yourbilling state-
ment) and take no cash advances during that bitting period, If your new bal-
ance is not paid in full on or before the payment due date, Finance Charges
will be assessed on your outstanding balance and on future purchases from
the date the purchases are posted to your account. On cash advances, fi-
nance charges are assessed from the dayyou take the cash advance until
the day we receive payment in full. OTHER FEES AND CHARGES: There
will bean additional Finance Char aforeach cash advance recorded dur*
the billing period. If you requeste a cash advance at a Financial InstitutiZ
the additional Finance Charge wilt be squalto 02 of the amount of the cash
advance. (but no less than $2 or no more than $10). If you requested a cash
advance at an Automated Teller Machine (ATM). this additional Finance
Charge will be $1.75. You will be charged a late payment fee of $10 for each
bitting period in which the minimum payment is not received within 25days o
ored or if we must return it to you because it cannot be processed. Terms are
subject to change.
In ordertobeconsideredfora Citibank MasterCard orCitibank Visa card
you must complete and sign this application. Omission of any of the in-
formation requested in this application may be grounds for denial.
X
Applicants Signature
Date
CITIBAN(O
DCG 999-12A CITICORP COMPANY
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