%iow Your Micl an Pride.
Apply Today.
Performance.
Save with the 24-Hour Toll-free Tfravelers'
Message Service. It keeps you in touch with
your family and business while you're traveling
anywhere in the world.
Experience Worldwide Acceptance.
VISA is honored at more than 7 million
locations around the world.
Expect Round-the-Clock, Toll-free Customer
Satisfaction for any questions you may have.
Exclusive Gold Card Protection.
Enjoy Premium Buyer's Protection on most
purchases for a full 90 days from the date
of purchase.
Receive up to $1,000,000 Common Carrier
Tr-avel Accident Insurance when you use your
Gold Card to purchase tickets.
Get Supplemental Auto Rental Collision
Deductible Reimbursement up to the full
value of the car when you use your Gold Card.
Rely on the Emergency Assistance Network
for medical, legal and administrative services
while traveling beyond 100 miles from home.

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UNIVERSITY OF MICHIGAN CARD APPLICATION

'Please consider my application for The Alumni
I Ed " Asociation of The University of Michigan VISA' csrd
lyve indicated below. I understand that if I am not already a
member of the Alumni Association, this application will also serve
as my membership application, and the $30 membership dues will
be charged automatically to my new VISA account upon approval.I
further understand that if my request for a VISA Gold is not
accepted, this constitutes my request for a VISA Classic. I also
accept that on a periodic basis, I may be considered for an
automatic upgrade to the VISA Gold at MBNA America's discretion.

I have read this entire application, agree to its terms, and certify that the
information is correct
APPLICANT'S SIGNATURSE DATE
Please complete the information below if you wish an additional card issued
to a co-applicant orver 18 years of age, or if yos wish tn be a guarantor for the
applicant
CO-APPLICANT/GUARANTOR INFORMATION
NAME (As you would like it to appear on card -Frust. Middle initial, Last)

(Note This is not an application frsa corporate account )
Please check one:

BVNR

VISA Gold VISA Classic VISA Classic
Universiry of Michigan Michigan Stadium Burton Memoriai Tower
06-843 34.183 34.185

RELATIONSHIP TO APPLICANT
SOCIAL SECURITY NUMBER

BIRTfiiOATS
HiOME PIHONE
CITY STATS ZIP
ANNUAL SAlARY

Apply by phone right now' Call toll-free
1-800-847-7378, ext. 5000

FEMPLOYER S ADDRFSS
PH ONE

I have read this entire application, agree to uts terms, and understand that I
will be jointly and sverally liable fcor all charges on this account

APPLICANT INFORMATION

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O-APP(IiC.5NT S/GUARANTOR'S SIGNATURE

OATS

NAMES(As you would like it to appear on yard - tatut Midudle initial Last)
BIiRTHlOATS
PRESENT ADDRESS

I (Wel authioizue MBNA America- to inuestigate any facts iorobtrain and exchange reports
regarding rhis application and/ioe resulting acciounituihi credit retirting agencies and
otsers Uponrequest I (Wei will he istormed of each agencys same andi adidress
Federally Required Notice to Cosigner
Yoiu are beinig asked to. guaraateeetni deht Thinok carefully befotre you. do it the borrouei
ioesn't pay the delt, you will have to Be sure thait you car affoid to pay it you haiie to aind
tsar you want to occept thssrespioibiluty You may- hose to pay up to the lull aoiuntcr1
tho debt iftrhe orowoer does itot tay You may also have toi pay late tfees or col lection cists,
which increase rhis amo:unt The haink car collect this debt trorn you without lurst trying toi
collect frorn the borrower The bank car use the same collectioirniethodsipermitted hy
aplilcahle lau against you that can he used against the horrower, such as suing you.
gatoisbisgyoai uages ,etc.If this sdebt is euer in de-fault, that flot rayhi-co me a parofyiiur
credit rcort This noi.,e is nt/ th e ciiract that miakes yiiu liable lint the acciiunti

cITY

$lTSE ZIP HOWL'ILONC?

Pi/htN INT 9ADDRESSb (Noc Pr/Bones pleasei

HOW LONG0

CITY

STATE

i/O YO/hi O/yN RENT hDORMV, OTHER

tAnnual Fees

PERMIANENT P IONi PRESNT OE
SOCIAL SECURITY NUMSER
MOTE FR 5MAIDSN NAME ikR) 5userien ou request special uctiitat~kenu on your accountI
YEAS Or GRADUATION

$40 VISA Cold, 520 VISA Classic
See waive-ciflrst year1

Annual Percentage Rate lb9 5,.
Grace Period For Repayment At least 25i/ayssfhow statem err/clusing date
Of Balances For Purchases

Method of Computing the
Balance for Purchases
Transaction Fee For Cash
Advances, And Fees For
Paying Late or Exceeding
The Credit Limit

PRE1SENT l.MPIOYi-Ihill onyi

NATURE Of BUISINESS

Average Dily Balanc (including new urchases) -
Transaction See StFortnkand ATMvtCash
Aidvances 2Y,, o each Cash Advance
$2 Miiniimm $25 Maximuiti
TranisactioiniFee Sot Access Chieck GCish
Advanices ChXurf each Gish Advance
$2a Minium, $10 ~hiMaxiumu

VISA Classic
Burton
Memorial Tower

TOTAL. PEiRSONAi. INCOME'
sOiiRCc
Total Personal incoime (i ncluide some frism employ-ment plus schiciarships, tuitionii,ii.siudeiit
ioaiisasd luridstreceiuedifrom relatives Alimciny child support, o~r spiousal iscome ori seirarate
msaintenance income-eddnsterealedlulyoudoiuitwusb it-onsiered asahosis-lrenyment I
CREDItT CARDO ACCOUINTS

Late Paiymtent See $1i5
Over-the-Creiit-imrit lieI/i
Thr infioimationi orscribesiin this applica tion is occurste as ofSI8//9qThis inlormatilit may
hive ichangidlaitr thatodate To fiid ciiiwhat may haive charged- call 1-8i0i-84-73-78/5Not
avaiblet oeare resiet
yMBNA America -as MNC Financial Company, issues and administers this credi~t caid
tproiram
VISA' is a feirerally registe red Tradenrk nI viIS IU S .A Intcssod puruttoi cense
CO Copyright rash0vsBNASinsrica

i Apply today.
Complete and mail the attached form.
Or, call toll free 1-800-847-7378,
ext. 5000 at any time.

MASTiRCARi/IR S 5,-ACCO/UNT

AMtERICAN SXPRESS~s ACCOUNT #