'g I -Ipr Sophs, Juniors, Seniors & Grads ...Apply for your Citibank Card today! _---- «4 i i :+ - ' v . .; K, .,Y , . j >- " ,. i s , ' . i ask E . _ i Ptrintl ame ayouhit tpear nV ca ist/MdltaLat SoaltSecurity Number~ Permannt tAddss. Apt. No. Ciy, Twnor Post ficeSae Zip I I I I I I I I I I I I I I III I I I I I I I I I I I I I I I I I I I I I I I I I I Peraettt tPhone Numtber Nametunderwhich photne is isted Age Dae of Mo.DaySYar aA ea sCode with directoy assitance NBirth / I I I IX I I I IX I I I I I I I I I I I I I I I I I / Namf Shol(Plasedntt Aabvate)A Branch I I I 1 I I I I I I I I I I I I I I I I I I III I I I - I I I I I I I I I I I I I I Yor ddes a shol ifdifret ro Prmnet ddes) Apt. NA. CtyTonorPtP OfficeState Zip I I I I I I I I I I I I I I I I I I I I I I I III I I I I I I I I I I I I I I I I I Your Phone Numtber Nae undertwhchphpnt ste Nd aAea CoeaAtASchool wthdrtryasistanc Cass Sttph QSt. QFaultyStatf QFut-ttttAStudentt QPart-ttmtStAAent AddrstoNtAhichAAyouAwAntyur QPenttnt QSchottt Q~sAN NA Please include a copy o N CtecktngAccount(JoitAtrtIndiviul) anNamtt:. of the following i Ys 71NA VALIDATED Student ID for current semester Money Markt/NOW Accounts: BatkAName: Q_ _ __ _ _ __ _OR AnulSoutAeIs) AtAoance/saviAns LI Paid tuition bill for current semester Icm'$ Q Summer JAbQSaary/Stipentd maintteacepayments paid ifyoaret relyig onthetoetabiAt this informationn~d willbereturned to youfor credit_________wor_____hiness._________ documentation. Name ofEmploAert(Present, Future orPrevAoAs/SAmAeti In ArdertAShelpANNserAeyAAbetteall docAA ta~tAioAnut EmployerAANAsttatus. (Photocopy btsideifAAAncsary) and AreaiCode G CV 1p 1 1 - 1 2 4/88 Appitcants Sigature X DatA SELECT ONE Qi Citibank MasterCard or QI Citibank Visa° iittank (SAothDakota), N.A. tAAAheAk y cet st ya echaAAA eAintot - buraus t INa. issd tatttitdt. ttatthori e tetttttery Abntttnyot he r Dakttat, N.tA tgtntttsyfiatettn retdeAAtArie yeibltAA t foArtthet CitankcdtA atr . ttttaa rte tat fratigtt e r~t edao tme i udtt o AdetetAnetmy el tttgibti ettybo hcei ardacutananAtettewarfttre etnstontA rditppA ttAtAt. fI s, AlAe od htAer An ttAAnumeAreAots o mtetr retetd nd AA tt attttoftthtcii iAt uraust wt thrad ret sest thadtt idedtheAeptAsfIdente a t htortzedNutse tt e t ct, ttnttettad ttact inaton llalso btAttptdtoditt urausAAin WISCONSIN RESIDENTS ONLY:sosnlaAovie that oagreeen~tAN couttorder orttindivi d ttemetappying to a rttitapopety wiltffcta cdtoriteteA t s n s ptrtoAthettt tA ttt~~tiec dtisg a ttecdtt ortt tAiAitual tttlede tAftNeadvrepAvititnt IAn dr obcn siAderedfor pete ansgn this application. Omisn ofany of theiAfor- mtinArequested in this ppliatio a y be gronds forden- tal. PleaseNIallow 30daystoNAprocessyour appiatNion. Detach and mail this coupon to CITIBANK (SOUTH DAKOTA), N.A. CITICORP CREDIT SERVICES, INC. (MD) ONE CITICORP DRIVE HAGERSTOWN, MARYLAND 21749 10465 15 C TfPII