Aurora Burlington Credit Union
Credit Card Application
Applicant
   
Name (Last - First - Initial): SSN:
Street: Date of Birth:
City/State/Zip Code: Home Phone:
Years at this address: Work Phone:
   
Do you Rent or Own?
Mortgage/Rent owed to: Mortgage balance: $
 
Employer Name: Start Date:
Street: Position:
City/State/Zip Code:  
 
Employment Income: Net Gross Per
   
OTHER: Co-Applicant Spouse
Name (Last - First - Initial): SSN:
Street: Date of Birth:
City/State/Zip Code: Home Phone:
Years at this address: Work Phone:
 
Do you Rent or Own?
Mortgage/Rent owed to: Mortgage balance: $
   
Employer Name: Start Date:
Street: Position:
City/State/Zip Code:
. .
Employment Income: Net Gross Per
   
TABULAR DISCLOSURE
The information about the costs of the card described in this application is accurate as of 10/01. This information may have changed after that date. To find out what may have changed, please contact our office.
   
Annual Percentage Rate (APR)
for Purchases
VISA Classic
14.90%
Other APR's
Cash Advance APR
14.90%
Grace Period
f or Purchases
25 days
Method of Computing
the Balance for Purchases
Average Daily Balance
(Including new purchases)
Annual Fee
None
Minimum Finance Charge
$1.00
Transaction Fee for Purchases............................None
Balance Transfer Fee............................................None
Late Payment Fee..................................................$10.00*
Over-the-Credit-Limit Fee.....................................$20.00
.
* if ten (10) or mores days late
   
SIGNATURES & CERTIFICATIONS

A consumer credit report may be requested in connection with this application and with any renewals, updates or extensions of any new credit extended as a result of this application. The credit union is relying on what you stated in this application and you acknowledge that everything you have stated is true. If a credit card is issued to you and you use the card (or its account number) or authorize its use, you agree that such use will constitute your agreement to the terms of the cardholder agreement that you receive from the credit union.

You grant us a security interest in all of your credit union shares in Account Number: to secure your card obligations.

X_______________________________________________________
Applicant's Signature
 
X_______________________________________________________
Co-Applicant's Signature
By submitting the application, I am authorizing A.B.C.U. to pull my credit report.


Simply submit your completed application and a representative will contact you.
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