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December 01, 1988 - Image 14

Resource type:
Text
Publication:
The Michigan Daily, 1988-12-01

Disclaimer: Computer generated plain text may have errors. Read more about this.


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SELECT ONE El CITIBAN(@ Y;EQ CITIBAN(@ M
To speed processing of your application, please complete all sections below. Write N/A for sny items thst do not apply to you.
PLESE ELLU . UIOREF I I
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Pemn(J hoNme a n Ara od Nmeunerwhchphneisisue wthDiecor Asitac Da oyBiprth
NaymeiofpSchool (Please dgoannot abbbreviate) Branchs
YoW oNuen AeaCoeandcholmamaudedwhchphneisissedwih irctoy ssstnc
Yulas QFrsAQLuiorTE GtudentI O thO r GIraduition billPfor a ioytUfoesdoo nun(nt drsuatohicyousntyouardadblln th atemn a ldu
orcurreSems rent semesteraf ' I I Q esQ on QnnlPnermtatsaPheoopykunQidnSchnoolay~
-----------

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c/rIBAN(EO

exchangeinormtin aoutuhowuIandle my accounwinhprper perons andwinhacredibureausnifIamnissuedauard. lauthorize
my employer, my bank, and any othenreferences listnd above tu neleane and/oanverify innonmanion to Citubank (South Dakota), NdA and
ins affilanes in onderntadetnrminenmy eligdiiniy fun nun Cutbankcnndit card. Iam awann that infonmaion gtnurnd abounan insuned ta
determinenmynelgibilty forntheacrdit ard acounn and anynnnnewalo unnurnnnxnnnsioun rditn IfuIask,lIuwllubentldaunnue rnn ot
consumen repnrs un me wnrn rnqunstnd and nun names anfnuneanneditbunnaun, wann nuniraddrnsses,tnan prouided tnunrpunks. If I
dnsgnaean anthurnzednusnnto ueynad, Iundnrstandnuanataontnninnomatnwill alsobenneporedntonndinkbunan the
antuoniaed usnnssuamn IacerifyluhanlIamn18ynansofanganoroldn, andnuhath nn oan on pnonaidediauan.lIundestandtanf
I usennunandnnraunthorintsusenordonotnancnl my accoun ihin 30daysnaftnnlnnrceuive heardtunCituankAgnnnmnntunentnno
mewithuthenard willubeuindin nnme.
WISCONuIN RESIDENTS ONLY: Wisconsin lam pnnuidnsatana nnoamntncanna onden on individual snannmnnn applyngtounmanital
propenty mill afnfnca anrdnton'snitenenns unless yuain nunhelion cnedit in gnanted, nun cnedinornia funnisued with a anpy ofnun agnnemnent,
curunonder, onusatemntn,nnruasactual knoldgenfuneadvnnspnvisin. Inn dnnrntnnbec nrd fornaCitikanknMastnnCandnnr
CnuiankuVsancand youmusnncomplenenandsinuis appliation.Omissnunfnanyuofithnnnfonmatiionnnequnsfndinnthisapplicationmay
bn gnounds Inn dnnial. Plnase aloas30 days tn pnoness younapplination.

Detach and mail
this coupon to:
CITIBANK (SOUTH DAKOTA), N.A.
CITICORP CREDIT SERVICES, INC. (MD)
ONE CITICORP DRIVE
HAGERSTOWN, MARYLAND
21749

/065 15
C , ' E tt ht - ,

Applicant's Signature X _

Aplians igatreXDate _____MCV999'1-12as

9/88

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