FAX またはご郵送でのお申し込みについて

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1 FAX またはご郵送でのお申し込みについて お申し込み資格 1. アメリカ在住でアメリカの銀行に口座をお持ちの JAL ファミリークラブ本会員の方に限ります まだ JAL ファミリークラブに加入されてない場合は まず JAL ファミリークラブの加入手続きをお済ませいただいてから 当クレジットカードをお申し込みください JAL ファミリークラブへのお申し込み方法 オンライン申込み 申込み書のダウンロードは : JAL ファミリークラブに関するお問い合せは : 原則 18 歳以上の収入のある方で 米国市民または米国に合法的に滞在できるビザをお持ちの方でなければなりません 収入や所属勤務先 住所を証明する書類を提出していただく場合がございます * 上記を満たしている場合でも 所定の審査によりカードを発行できない場合がございますので ご了承ください お申込書をお送りいただく前に 1. カード規約を必ずお読みいただき 内容に同意される場合のみお申し込みください 2. お申込書に記入漏れが無いかご確認ください 3. 署名欄に署名されているかご確認ください 4. ソーシャルセキュリティ番号をまだご取得されてない方は パスポートの顔写真の写し 及びビザスタンプの写しを添付してください 送付方法 FAX 番号 : または 番号間違いのないようご注意ください 送付先住所 :19800 MacArthur Blvd., Suite 400, Irvine, CA 恐れ入りますが 切手をお貼ってお送りください

2 JAL FAMILY CLUB/PREMIO CARD APPLICATION FORM ( ) PREMIO /19800 MacArthur Blvd., Suite 400, Irvine, CA Would you like to have an additional card? YES NO Please check (Additional Monthly/Annual fee may be charged. PREMIO will contact at the time of card issuance.) Long distance call plan "KDDI Ichiban TALK" "KDDI dokodemo TALK" New member or current member. Personal Care Service Car Life Support PRIMARY MEMBER CARD APPLICATION No membership is issued if credit is not approved. You must become a JAL Family Club Member in advance of your credit card application. For details of JAL Family Club, please contact Please enclose a copy of your passport and visa bearing the applicant's photo if you are not a U.S. citizen. Please fillout completely and fax to ( ) or mail to PREMIO /19800 MacArthur Blvd., Suite 400, Irvine, CA This application form cannot be returned. Full Name Date of Birth Mother's Maiden Name First Name Last Name / / Are you a U.S. resident? YES NO Social Security Number Driver's License No. and State Physical Address in the U.S. (No P.O. Box) Years at Home Address City State Zip Monthly Mortgage/Rent Payment Yrs. Mo. Own Rent Other Previous Address (If at home address less than 2 years, please fill in your previous address.) Home Phone Employer Your Position / Title Years with Employer Address of Employer Your Address City State Zip Business Phone If you provide an address we may use it to contact you about your accounts. We also use your address to send you information about products and services you might find useful. Income in the US Other Gross Annual Income Source of Other Income Alimony, child support or separate maintenance income need not be revealed if you do not wish it to be considered as a basis for repaying this obligation. Checking Account Number Institution PLEASE SIGN THIS AUTHORIZATION ADDITIONAL CARD INFORMATION (18 or older) If you have sources of credit in Japan, please fill out below. JAL Family Club Membership Number By signing to the right, you the applicant(s) authorize us to obtain information to evaluate this application, and upon approval agree to the terms and conditions, which will be mailed with your cards. You have read and agreed to all the terms, authorizations, and disclosures contained on this form. You represent that in order to obtain the credit requested all information you supplied to us on the application is true and correct. This Credit Card is issued by First National Bank of Omaha. Applicant Signature Full Name Date of Birth First Name Last Name / / Relationship Social Security Number JAL Family Club Membership Number Date / / / /

3 IMPORTANT RATE, FEE AND OTHER COST INFORMATION (SUMMARY OF CREDIT TERMS) Annual Percentage Rate (APR) for 1.9% APR fixed for the first 5 billing cycles after your account is opened. After that, Purchases 18.49% APR as of 04/01/2007. * Other APRs Balance Transfer APR: 5.90% fixed for the life of the balance on Balance Transfers made in the first 3 billing cycles after your account is opened. After that, 18.49% APR as of 04/01/2007. * Cash Advance APR: 24.49% as of 04/01/2007. * Penalty Rate APR: up to 32.49% as of 04/01/2007 (see explanation below). * Variable Rate Information The APR for Purchases and Balance Transfers may vary and will be the greater of 13.99% or the Index plus a Margin of 12.49%. * The APR for Cash Advances may vary and will be the greater of 19.99% or the Index plus a Margin of 18.49%. * The Penalty Rate may vary and will be the Index plus a Margin of up to 26.49%. * Grace Period For Repayment of Not less than 20 days from the date of the billing statement on new purchases Balance for Purchases (provided you have paid your previous balance in full by the due date). Method of Computing the Balance Average daily balance (including new purchases). for Purchases Annual Fee 40 the first year; 70 each year after Minimum Finance Charge 1.75 (any billing cycle a finance charge is imposed). Foreign Currency Transaction Fee 3% of the amount of the transaction (after conversion to U.S. Dollars). for Transactions in Non-U.S. Currency Overlimit Fee: 39. Transaction Fee for Cash Advances: The greater of 15 or 3% of the transaction (the greater of 15 or 5% of the transaction for certain Cash Equivalent Transactions ). Transaction Fee for Balance Transfers: The greater of 10 or 3% of the transaction. Late Payment Fee: 35 if your New Balance is less than 500; or 39 if your New Balance is equal to or greater than 500. Your Annual Percentage Rates (including Introductory Rates or Special Offer Rates) may terminate and increase to a Penalty Rate or a Preferred Rate if you: (1) fail to make a minimum payment to us; (2) exceed your credit limit; or (3) make a payment that is dishonored for any reason. Factors considered in determining whether a rate increase will occur may include how you have handled your account with us and current and historical information regarding your credit in general. *The Index is each month s highest one-month London Interbank Offered Rate ( LIBOR ) as quoted in the prior month s The Wall Street Journal, after increasing any fractional rate for LIBOR to its next highest whole percentage point. Please Note: Your account will have monthly billing cycles, except that your first billing cycle may be less than one month. All credit terms, including minimum finance charges, will apply in each billing cycle including the first billing cycle. You understand that the terms of your account, including APRs, are subject to change. APRs are not guaranteed and they may change to higher APRs. Fixed APRs may change to variable APRs and vice versa. IMPORTANT NOTICE REGARDING CHANGES IN TERMS. We reserve the right to unilaterally change the rates, fees, costs, and other terms at any time for any reason in addition to APR increases that may occur for failure to comply with the terms of your Account. You agree that payments on your Account may be applied in the order we select. We may allocate payments to balances starting with the lowest Annual Percentage Rate.

4 BALANCE TRANSFERS: Balance Transfers are not available to you until after your Account is opened. You authorize us to make one or more of the balance transfers that you have requested. All balance transfer requests are subject to our approval; we are not liable if we do not make a requested balance transfer. We reserve the right to make balance transfers in the order we select and to limit the amount of the balance transfers that we make (this amount may be less than your total credit limit). If you request an amount that we do not approve, we may process a partial transfer for less than you requested or we may decline the entire request. In addition, transfer requests that are incomplete, illegible or requested to cash, to yourself or to another account with us or one of our affiliates need not be processed. To protect your billing dispute rights, do not request a balance transfer of any amount you might dispute with another creditor. Because there may be delays in the processing of these transactions, continue paying your other creditors the amounts owed for each balance transfer you request, until you receive a periodic billing statement from those creditors showing that the requested balance transfer has been processed. You may also call us at and review your periodic billing statements from us to determine the balance transfers that we have processed. Balance Transfers are subject to applicable fees and finance charges and do not have the benefit of a grace period. CREDIT REPORT: By applying for this account you agree that First National Bank of Omaha may obtain credit reports for purposes of processing your application and for later purposes related to your account such as reviewing, updating and renewing it, increasing the credit line and collecting. If you request, you will be informed of whether or not a credit report was requested and of the name and address of the consumer reporting agency that furnished the report. You also authorize First National Bank of Omaha to verify your employment, income and other relevant information. The approval of an account and the ongoing extension of credit may be conditioned upon the guarantee of a third party. NOTICE TO CARDMEMBERS AND AUTHORIZED USERS: We may report information about your account to credit bureaus. Late payments, missed payments, or other defaults on your account may be reflected in your credit report. IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT: To help the government fight the funding of terrorism and money laundering activities, the USA Patriot Act requires all financial institutions to obtain, verify, and record information that identifies each person (including business entities) who opens an account. What this means for you: When you open an account, we will ask for your name, physical address, date of birth, and other information that will allow us to identify you. We may also ask for other identifying documents. We will let you know if additional information is required. The JAL Family Club/Premio MasterCard credit card (the Program ) is sponsored by Japan Airlines, Prestige International and First National Bank of Omaha (the Sponsors ). Credit card accounts are issued by First National Bank of Omaha. Applicants to and Cardmembers in the Program must reside in the United States. Participants consent to and authorize the Sponsors along with any parties with whom they contract in order to manage this program, to share information about the Cardmember(s) and his/her account as necessary to administer the Program. Married applicants may apply for separate Accounts in their own names. OHIO RESIDENTS: The Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law. NOTICE TO MARRIED WISCONSIN APPLICANTS: No provision of any marital property agreement, unilateral statement or court decree adversely affects our interests and/or rights unless, prior to the time the credit is granted or an open-end credit plan is entered into, we are furnished with a copy of the agreement, statement, or decree, or have actual knowledge of the adverse provision. Married Wisconsin residents applying for credit separately must furnish name and address of their spouse to First National Bank of Omaha at P.O. Box 3696, Omaha, NE CALIFORNIA RESIDENTS: The applicant, if married, may apply for a separate account. After credit approval, each applicant shall have the right to use this account to the extent of any credit limit set by the creditor and each applicant may be liable for all amounts of credit extended under this account to each joint applicant. NEW YORK RESIDENTS may contact the New York State Banking Department to obtain a comparative listing of credit card rates, fees and grace periods. New York State Banking Department: ARBITRATION NOTICE: You understand that any Cardmember Agreement you receive will contain an arbitration provision that may substantially limit your rights in the event of a dispute, including your right to litigate in court or have a jury trial, discovery and appeal rights, and the right to participate as a representative or member of a class action. You may request arbitration rules and forms through either or both of the following arbitration administrators: American Arbitration Association, ; and National Arbitration Forum, Please review the Cardmember Agreement and its arbitration provision carefully before you use or allow someone else to use an account.

5 Cards are issued by First National Bank of Omaha. JAL Family Club/Premio MasterCard Credit Card Rewards Program TERMS AND CONDITIONS SUMMARY Please read these terms and conditions for important information about the JAL Family Club/Premio MasterCard Credit Card Rewards Program (the Program ). The Program is sponsored by Japan Airlines International, Prestige International Inc., Prestige International USA, Inc. and First National Bank of Omaha (collectively, the Sponsors ). Credit card accounts are issued by First National Bank of Omaha. 1. Program members will earn 1mileage point for each US1.00 in Qualifying Credit Card Transactions charged on his/her JAL Family Club/Premio MasterCard credit card account. Qualifying Credit Card Transactions shall mean purchases of goods or services made with your credit card while the account is in good standing by any authorized user of the account, net of any returns or credits. Qualifying Credit Card Transactions do not include cash advances, balance transfers, convenience checks, fees of any kind (including late fees, overlimit fees, annual fees, and finance charges), and other non-purchase transactions, or any Qualifying Credit Card Transactions made at a time when the account is not in good standing. Mileage points will be accumulated in the primary cardmember s account, regardless of which authorized user uses the JAL Family Club/Premio Card. As a general rule, mileage points will be accumulated approximately two billing cycles after card usage and will automatically be added to the JAL Family Club/Premio primary cardmember s account. 2. In addition to the mileage points described in paragraph 1 above, the Sponsors may also award you one or more additional bonus mileage points, at the Sponsors sole discretion, in connection with certain transactions and/or promotions. Bonus mileage points for enrollment, if any, will be awarded by the end of the following billing cycle after your first purchase with the card. 3. There is no limit on the number of mileage points you can earn. Mileage points will only be valid until December 31 st of the second calendar year after the date of the Qualifying Credit Card Transaction. If you do not use your mileage points during such redemption period, the mileage points will expire. If you have mileage points expiring at the end of any year, you must submit an award request postmarked by December 31 st of that year to avoid expiration of such mileage points. 4. If you close your JAL Family Club/Premio MasterCard credit card account before your billing cycle ends, mileage points accumulated will be forfeited. 5. As long as you maintain your JAL Family Club/Premio MasterCard credit card account, your JAL Family Club membership will be renewed automatically and the JAL Family Club annual membership fee (US30) will be charged automatically to your JAL Family Club/ Premio Card. In the event that the primary cardmember ceases to be a member of JAL Family Club due to membership termination or relocation, please notify Prestige International USA, Inc. dba Premio to have your account terminated and to avoid additional annual fee(s). 6. Eligibility in the Program is restricted to JAL Family Club/Premio MasterCard cardmembers whose accounts are in good standing (as defined by First National Bank of Omaha from time to time). The primary JAL Family Club/Premio Card applicant must be a JAL Family Club Primary Member who resides within the U.S. and has a checking account. Examples of an account not in good standing include, but are not limited to, an overlimit account, a delinquent account, or an account otherwise in violation of the cardmember agreement. If your account is open and in good standing, you may earn and redeem accumulated mileage points. If you fail to pay your account on time or otherwise fail to follow the terms of your cardmember agreement, you will forfeit accumulated points. 7. The Program is offered at the Sponsors sole discretion. The Sponsors may, from time to time and in their sole discretion, change or limit any aspect of the Program and its rules, restrictions, benefits or features, in whole or in part, including but not limited to suspending or terminating all or part of the Program, with or without prior notice to you. The Sponsors also reserve the right to add any Program membership or other fees or increase such fees, if any. 8. The Sponsors reserve the right to terminate the Program at any time. The Sponsors decisions regarding the Program are final. If the Program is terminated, you will be notified of the date by which you must redeem all your accumulated JAL Family Club/Premio MasterCard mileage points.. Closing your account (by you or by the Sponsors) will result in termination of your enrollment in the Program. 9. Any liability for federal, state, or local income taxes or fees or charges arising from the acquisition or use of mileage points or credits is the sole responsibility of the Program members and not the Sponsors. 10. Every effort has been made to ensure that all information in all Program materials is accurate. The Sponsors are not responsible for printing errors or omissions. 11. The terms and conditions regarding obtaining benefits from this Program are the same as those outlined in Japan Airlines International s current "JAL Mileage Bank" and "JAL Family Club" programs. If you are already a regular Premio cardholder, you cannot use that card to obtain JAL Family Club/Premio Card mileage points. 12. The Program is void where prohibited by law. Japan Airlines is solely responsible for the rules and administration of the mileage points redemption program. The Sponsors reserve the right to cancel, modify, restrict, or terminate the Program, or any aspects or features of the Program, including mileage point accrual, at any time without prior notice to Program members. First National Bank of Omaha is not liable for any accident, loss, injury, or damage incurred in connection with the cardmember s participation in the Program. Program members consent to and authorize the Sponsors along with any parties with whom they contract in order to manage this Program, to share information about the cardmember(s) and his/her account as necessary to administer the Program. The JAL Family Club/Premio Card is a MasterCard marketed by Japan Airlines International and Prestige International USA, Inc. dba Premio, under the issuance of First National Bank of Omaha. With the exception of the mileage points redemption program which is administered by Japan Airlines International, all other services are provided by Prestige International USA, Inc. dba Premio and First National Bank of Omaha. The JAL Family Club/Premio Card is separate and distinct from the "JALCARD". Consent to Receive Disclosures Electronically By submitting this application, you have demonstrated your ability to access the information on these web pages and have consented to receiving consumer credit disclosures related to this application electronically. Your consent applies only to the related disclosures and does not apply to subsequent disclosures, such as changes in terms or periodic statements. You understand that you have the right, at no additional charge, to withdraw your consent, and/or request a paper copy of the consumer credit disclosures, within thirty days of submitting your application by writing to First National Bank of Omaha, P.O. Box 3696, Omaha, Nebraska If you applied, please include a description of the product applied for. If you have already opened your account, please include your account number. Your application will be processed based on your initial consent, and the withdrawal of your consent will not affect the processing of your application. Hardware/Software Requirements