October 12, 1995 (vol. 106, iss. 10) • Page Image 25
…THE APPLICATION INSTRUCTIONS: To assure timely processing, completely fill out all spaces and sign the application before mailing. The application is to be completed in name of person in which the account is to be carried. Please attach a photocopy of your student ID or paid tuition bill for the current semester. ADDRESS where you want card and blling statement mailed: 0t 0 I,. 94 First, Middle, Last Name (leave space between each) FSM H B...…