VISA Credit Card Our VISA Platium ad Visa Classic Credit Cards are desiged to help ou maage our accout sesibl. Each card is simple, reliable, safe ad eas to use with o complicated fees or rules. Our card offers: A low variable rate No aual fee Free olie accout iformatio Worldwide acceptace Cash advace at thousads of ATMs Auto retal isurace Automatic pamet optio Travel accidet isurace coverage Prompt, expert service everda card for r r u u o o e h Us atc es ad w ickl! purchas p dd u qu poits a Those eligible for the VISA Platium Preferred Card receive additioal rewards! As a VISA Platium Preferred cardholder, ou ll ear oe poit for ever $1 spet whe ou use our card to shop, die, travel, pa bills or etertai. Redeem our poits for excitig gifts ad travel packages. There is o cap o how ma poits ou ca ear. Wh carr a other card? Appl! toda Please prit ALL PAGES of this documet. Each applicat should complete the applicatio ad sig. The siged applicatio should be mailed to: Bakers Bak of Kasas Service Ceter P.O. Box 20810 Wichita, KS 67208-6810 OR, use the prepaid busiess repl evelope. Please follow the supplied directios to prevet papers from separatig durig trasit. Remember to tape the busiess repl evelope closed. Applicat should keep the Importat Disclosures for the rates, fees or terms associated with this program. Applicat should keep this page as a overview.
KEEP THIS PAGE. Iclude it whe mailig our applicatio. 2
Please see terms, rates ad fees i Importat Disclosures. APPLICANT (Please prit Mother s Maide Name Name (as ou wat it to appear o our card Phsical Address Mailig Address (if differet from phsical address Legth of Residece Home Phoe ( Cell Phoe ( Ow Ret Other Mothl Pamet $ Date of Birth Social Securit Number Email Address Emploer or Source of Icome* How Log (rs. If self-emploed, please list ature of busiess Busiess Phoe ( Aual Icome* Previous Emploer U.S. Citize Yes Nearest Relative (ot livig with ou No How Log (rs. Home Phoe ( Relatioship *You do ot eed to iclude icome from alimo, child support or separate maiteace pamets uless ou wat us to cosider it for this applicatio. CO-APPLICANT Complete if joit accout (please prit U.S. Citize Yes Co-Applicat s Name (as ou wat it to appear o our card Phsical Address Mailig Address (if differet from phsical address Home Phoe ( Cell Phoe ( Date of Birth Social Securit Number No Email Address Emploer or Source of Icome* How Log (rs. If self-emploed, please list ature of busiess Aual Icome* Busiess Phoe ( PLEASE READ CAREFULLY BEFORE SIGNING: This applicatio is submitted to obtai credit, ad I/we certif that all iformatio herei is true ad complete. I/we agree ad grat permissio that iquiries ma be made to verif iformatio ad credit refereces or verificatio ma be give based o iquiries from other parties. At the request of our Fiacial Istitutio, this offer is uderwritte ad serviced b Bakers Bak of Kasas, P.O. Box 20810, Wichita, KS 67208-6810 (BBOK. Offer subject to credit policies of BBOK. I/we agree to be boud b the terms ad coditios of the Cardholder Agreemet, a cop of which will be mailed to the applicat if credit is grated. Receipt of such agreemet ad acceptace of such terms to be coclusivel presumed b applicat s use. If this is a joit applicatio, the udersiged shall be joitl ad severall liable for a ad all credit exteded from time to time. I/We hereb certif ad warrat that the statemets made b me/us are true ad correct ad that I/we have read the Importat Disclosures i this applicatio. We ited to appl for joit credit. Iitials ad Applicat s Sigature. Date Co-Applicat s Sigature Date BALANCE TRANSFER TRANSFER OF BALANCE REQUEST: Upo approval, I wish to trasfer the curret balace o the credit accout(s listed below to m ew credit accout, up to m credit limit. Please sed a cop of our last credit card statemet for each of the accouts idicated below. Please allow 30 das for pamet to be received. Cotiue makig pamets to our other creditor util the balace trasfer is complete to avoid a late fees. VISA Accout No. MasterCard Accout No. Other (Name - Accout No. Cardholder Sigature Cardholder Sigature Cardholder Sigature AUTOMATIC PAYMENT OPTION If ou would like our pamet automaticall deducted from our checkig or savigs accout, please check here ad a automatic pamet set-up form will be mailed to ou. BANK ID#: Name of Emploee Who Helped You: 3 771 Ma 2016 Uiv
IMPORTANT DISCLOSURES As of the date i the lower right corer of this applicatio, the iformatio listed was accurate. Because rates ad terms are subject to chage, ou ma cotact us for the curret iformatio b writig to us at P.O. Box 20810, Wichita, KS 67208-6810 or email us at ccifo@bbok.com. The Cardholder Agreemet should be reviewed for all coditios ad terms. BBOK is card issuer. NO ANNUAL FEE! Iterest Rates ad Iterest Charges Aual Percetage Rate (APR for Purchases 9.42% for Platium 11.92% for Classic Whe ou ope our accout, based o our creditworthiess. Your APR will var with the market based o the Prime Rate.* APR for Balace TrasfersRates Iterest Same as Purchase Rate. APR for Cash Advaces 18.00% Paig Iterest Your due date is at least 25 das after the close of each billig ccle. We will begi chargig iterest o cash advaces o the trasactio date. We will ot charge ou iterest o purchases if ou pa our etire balace b the due date each moth. For Credit Card Tips from The Cosumer Fiacial Protectio Bureau To lear more about factors to cosider whe applig for or usig a credit card, visit the website of the Cosumer Fiacial Protectio Bureau at: http://www.cosumerfiace.gov/learmore Fees Aual Fees tes Iteret NoeRates Iterest Trasactio Fees Balace Trasfere Cash Advaces Foreig Trasactio Noe Either $5 or 2% of the amout of each advace, whichever is greater. 2% of U.S. dollar amout of the trasactio. Rates Iterest Pealt Fees Late Pamet Retured Pamet Up to $25 Up to $25Rates Iterest How We Will Calculate Your Balace: We use a method called average dail balace (icludig ew purchases. *I the evet ou do ot qualif for a Platium Preferred card, we will automaticall cosider ou for our Classic card. Your Rate o purchases is determied b addig 8.42% for Classic or 5.92% for Platium to the Prime Rate published i the Wall Street Joural uder the Moe Rates subsectio o the last busiess da of each moth. Ma 2016 Uiv 4
A Fold o dotted lies to create a busiess repl evelope. Follow the steps below for the correct foldig process. Do ot use excessive amouts of tape whe closig the evelope as it might dela the processig of our applicatio. Do ot use idustrial tape to close the evelope. Ol use office tape. B Step 1: FOLD THIS PANEL DOWN (INSIDE C IMPORTANT: DO NOT ENLARGE, REDUCE OR MOVE the FIM ad POSTNET barcodes. The are ol valid as prited! Special care must be take to esure FIM ad POSTNET barcode are actual size AND placed properl o therepl mail piece A. Busiess Evelope (created oce folded to meet both USPS regulatios ad automatio compatibilit stadards. B. Blak Sheet of Paper (aides the privac of our iformatio C. Your Completed Applicatio NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES BUSINESS REPLY MAIL FIRST-CLASS MAIL PERMIT NO. 5105 WICHITA KS BANKERS' BANK OF KANSAS SERVICE CENTER PO BO 20810 WICHITA KS 67208-9767 Step 3: TAPE TOP CLOSED WHERE IT SAYS (DO NOT USE INDUSTRIAL TAPE Step 4: TAPE ON BOTH ENDS (DO NOT USE INDUSTRIAL TAPE Step 5: DO NOT STAPLE CLOSED 5 TAPE CLOSED WHERE INDICATED TAPE BOTH ENDS CLOSED NO STAPLES ALLOWED Produced b DAZzle Desiger 2002, Versio 9.0.05 (c 1993-2009, Edicia, www.edicia.com U.S. Postal Service, Serial #NO TAPE BOTH ENDS CLOSED NO STAPLES ALLOWED Artwork for User Defied (4" x 8.5" Step THIS PANEL UP TO MAKE OUTSIDE (BACK Laout: 4 2: FOLD 8.5 BRM with IMB.lt November 10, 2010 POSTAGE WILL BE PAID BY ADDRESSEE