European Stars and Stripes (Newspaper) - May 16, 1994, Darmstadt, Hesse I if you already have an Al amp to idling card fill in the first Section Only 2. If you done to have an a amp to calling card fill in All sections of the application name please print ,. A current Telephone number Here you can lie readied country ask Lcuy code amp local met Lori Apo fihs address country please give us the first ten digit son t he Frant of your Ai calling us about yourself please Complete All information. A yes a no l at of birth Security number would you Branch of service or Dod civilian rank. Base in theol . Permanent address in . A a City a a slate. In a a including spouse permanent tet Clione numb or in us mothers Maiden name Tell us How you want your Ai amp tilling card Calls billed choose one. A Send Mea monthly Bill from Aitt Complete this information Only if you want a monthly Bill from ai3stx monthly Gross pay Oiler monthly income. Do Bank name City stale a a a a a a a zip a. A. A a. Licking savings both name of creditor City slate a a. -. Lyneol account monthly payment due name of creditor a i arc 10 my a Mesa v a Mastercard City mate Type of account monthly Pashk in Balam due cd american express account number. A. Lapira Fideli tote 1 Bank Nam cum address. a a Hilling a i agree to pay Tor cram to the account in accordance Wuh the terms of 0 applicable Unic As a. A it a in amp to calling Coal Tom at a conditions will Send me when my application is approved. 1 understand that my acc rent is subject to a a fam usage limit stated on my at amp to Bill 1 understand that on die to nigh uti b reached at amp to reserves to la right to cad until payment is received. I Afflit that i Haw readied a age of majority in p y Home state1 Aas of Nia Joritz is in All states except 19 Utal amp be and 21 in is amp i i an. Aware that information Fua wed about be to Detolne my eligibility Lor an at amp to calling card a count. If 1 ask t. Will be told whether or notch Minter reports on me wre requited. And the mums and attire secs of tie credit Bureau that prowled the reports am aware Fimi 1 must notify at amp to of any addres change t understand that 1 will be sewed a fee in checks removed Tor insufficient funds. Note loonies lobe considered bran at amp to calling card you a tit Complete and sign teds application to Ion of any of in ills application May be grounds for denial Ulm Lonata master cold Raiissi Illing a a a a. A ,. I god stand and agree thu am Dunas made win an at amp to card and billed Itu Ough my visa Mastercard or american will be subject to the , Mastercard or american express finance charges As May be applicable to other. Items appearing on m vets Sec inc at in account statement in accordance with in a ten real conditions of my visa Mastercard or Art Teriaka express account i also untie stand and agree to the a terms and god icons applicable tote fee of tote at amp to cml As provided to me by at amp to i will notify at amp to As specified into terms Anil if my visa Teer Irwi or american express la lost stolen or the manatau a piers for any reason or 1 wish to terminate for any reason to Fri Johny visa Mastercard or american express account. A a a mail tos at amp to calling card to Box 1404 Buffalo by 14226-9967 x Itu applicant s signature �?-�?-�?1-�?-1--- note in order to be for an at amp to cad you omission of use requested to this application May grounds for denial. Vi8.vmcmust be on a . Sank. At amp to aeu600w94
