Introducing special privileges
for students only
When you become an American Express®
Cardmember, you will enjoy extraordinary
new student privileges. For example:
Travel-for less.
Student Cardmembers can fly
twice for only $99 per round-
trip to many of the more than
180 Northwest Airlines cities in
the 48 contiguous United States.
Seats are limited, so plan ahead.Travel
may not be available between cities to
which Northwest does not have direct con-
nections or routings. Additional restric-
tions apply; please see next panel for terms
and conditions.
Student Cardmembers get American
Express Card CONNECTIONS, a magazine
with valuable articles, and travel and mer-
chandise offers.
You'll also enjoy all the regular benefits
of Cardmembership: Emergency Card
Replacement...24-Hour Customer Service...
the Buyer's Assurances' Protection Plan.
It's easier to become a member now
than after graduation.
With Undergraduate Automatic Approval,
as long as you are at least 18 and attend the
school listed on the back of this application
full-time, all you need is one income source
to get the Card-a summer job, a part-time
job, even your parents. And if you have a
credit history it must be unblemished. So
why wait? Apply today
Membership Has Its Privilegess'

Speci American Exprfs® Card Applicatii for Undergradves
Please Tell Us About Yourself Your Source of Income

Please Print

Title (optional)] Mr. 0l Mrs. 0 Miss 0 Ms.

First. Middle, Last Name
Date oft Soc. Sec.
Birth' Number
Mo. Day Yr.
'Must bear least t ears a age to apply
Print in the boxes below how you would like your name to appear on the Card. Spell last name completely.
Full name must not exceed 20 spaces.

Please indicate sources of income, names to contact for verification, addresses and telephone
numbers of the following income sources: full-time, summer or part-time job, savings account, trust
fund, student grants or funds from parents.
Employer/Source of Income Date of Employment
Your Position $permonth
Name for Verification Phone (Area Code)
Address (Street, City State, Zip Code)

I II I I I I I I I

I I I II I I I I


Home Address (Permanent Address) Street

$ per month


Source of Income

$ per month

City, State Zip Code
(
Home Phone (Area Code)

Phone (Area Code)

Yrs/Mos.
Time There
YearsThere

Name for Verification
Address (Street. City State. Zip Code)

Your Financial Data

Previous Home Address (Street)
City State Zip Code

Type of Bank Account/Account Number

Bank Name

Mothers Maiden Name

eank Address (Street City State Zip Code)

College
City State, Zip Code
L Freshman LI Sophomore L Junior LI ther

Major Credit Card Major/Other Credit Card
(will rrt ofecr poor application liibility if left slunk)
Your Billing Information

Billing Address (itdifferent from Permanent) Street
Mont Year
Graduatior Dote City Store. Zip Code

Phone (Area Code)

Major

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Students: For faster processing, please have your Registrar place Official Stamp below
verifying your current ful-time enrollment (optional).
SEE BACK OF APPLICATION FOR IMPORTANT NOTICES.
The annual fee is $55. Do not enclose the fee with your appli-
cation; we will bill you later.

AN APPLICANT, IF MARRIED, MAY APPLY FOR A SEPARATE ACCOUNT.
By signing below, I ask that an account be opened for me and Card(s) issued
as I request, and that you renew and replace them until I cancel. I understand
that you may verify and exchange information on me, including requesting
reports from credit reporting agencies. I am aware that this information is
used to determine my eligibility for the Card and that, if my application is
approved, you may contact these sources to update this information at any
time. If I ask whether or not a credit report was requested, you will tell me. If
you receive a report, you will give me the name and address of the agency
that furnished it. I will be bound by the Agreement received with each Card,
unless I cut the Card in half and return both halves to you. I agree to be liable
for all charges to the Basic and any Additional Cards issued on my request.
By signing below, I certify that I have read, meet, and agree to all of the
terms, conditions and disclosures on the reverse side of this application.

Signature of Applicant
sx

Date

Terms and Conditions for Northwest Airlines

TRAVEL 
RELATED
SERVICES
An American Express company
'To be eligible,you must be approved before December 31,1989.
So apply now.

1. Within 6-8 weeks after acceptance for Cardmembership, student will be
issued two vouchers, each valid for purchase of $99 roundtrip ticket between
any two on line Northwest Airlines or Northwest Airlink cities within the
contiguous 48 United States. Each voucher valid for a consecutive six-month
period beginning on the date of issuance for each voucher Cardmember may
not use two vouchers together at the same time. All travel must be completed
within the six-month validity period of each voucher. Voucher cannot be
extended past expiration date.

2. Voucher may be redeemed and reservations made at any authorized travel
agency or Northwest Airlines city or airport ticketing office. Tickets must be
purchased within 24 hours after booking or one day before departure, which-
ever occurs first. Ticket must be purchased with the American Express Card.
Cardmember name on the American Express Card must match the Card-
member name indicated on the voucher. Ticket will be issued to passenger
named on voucher only. Picture identification required for ticketing and
check-in. (Continued on reverse.)

@1989 American ExpressTravel Related Services Company, Inc.