Now, while you're still in school, is the easiest time to get
the American Express Card-even if you don't have a full-
time job or a credit history. Because now you can get the
Card through a program designed especially for college
students: the American Express Undergraduate Automatic
The requirements are simple. You must be an enrolled full-
time student at this school. You need to show funds from one
of several verifiable income sources. It could be a full-time,
summer, or part-time job, a savings account or trust fund, a
student grant, or from your parents. And if you have a credit
history it must be unblemished.
Don't wait. Appoly today.
Snecial American E3
ress Card Application for Undergraduates
D~aePot N I StaySec
Bi,,th fN tttbetr J....L L.L
Must be at least 18 years ot age to apply
Print ith bxesbeow hw y woldik yr ae tppear othe Card. Spelllt ae
completely. Fullnameemustt exceed 20spaces.
(Perantet Address S teet
City Stae Ctoe
(Area Code) ( ) Th ee Str. Mys
Homte Address StreetTher
City State Cott
_____________ OlFreshmtan OCSophytttytaQCJunortQ Othe
Pease indiyatesyuryes otinomye, nametotyyc ytacfreiftitony, addresses andteleyhone yutbersytftheytlyowittginyyomeoyryes: tyll-tim e ttmertrtpatt-tieob, savinysaccyunt, tusttfund,
State, Zip Code
City State Code
3 KPI, In 0 WK T. A-U, 1 0 0 W
t fm ermtantet Address)
Naet City State Code
Students: Forfaster processing, please attaayootRegisttatplace Otticial Statmpbelow veritying AN APPLICANT, IF MARRIED, MAOAPPLFORSASEARSTE ACCON.
By sigoing below, I aok that an account by opeoed tot me aod Card(s) issued as I request,
god that yoo renew aod reylace thor n otil I cancel. I understaod that you may verify aod
exchaoge ioformatioo on me, including tequestiog reports from credit reporting ageo-
ces. l am aware that thio onformation is used to determine my eligibilitytfor the Card aod
that, if my application is apyroed, yoo may contact these sorces to uydate this
ioformation at anytime. If Iaok whether or oot a credit reyort was requested, yoo will toll
- my. If yoo receive a report, you will gioe me the name aod address of the ageocy that
furoiohed it. I will be bound by the Agreemeot received with each Card, unless I cot the
Card in halt and rtors both balves to yoo. I agree lo be liable for all charges to the Basic
The annual fee is $45. Do not enclose the fee with your appli- and any Additional Cards issoed on my reqoest.
cation; we will bill you later. Payment for charges on your Signature of Applicant Date
Card account is due in full upon receipt of your monthly billing x
statement; you may not defer these charges.X
DDisclosure information for New York residents: If you wish to receioe the disclosure
terms of this charge card, check here and return to the address on this application. P 03 19 0036 8
FOLD IN nTIRDuSOEN HERE. SEAL 0N0 MOIL. CG1988 AmenEpsTrveRelted SeeCan,In.