CREDIT CARD APPLICATION 
   Please print all information 
                         �
   I would like to apply for: m Visa        Off  Rewards Plus     m  Dinero Visa     m  Off Off Savings Secured Visa 
    Please Tell Us About Yourself 
     Name                                                   Account Number 
     Date of Birth            Social Security Number        Driver�s License/State 
     Street Address                City           State     Zip            Years There 
     (  )                     (  )                          (  ) 
     Home Phone               Mobile Phone                  Work Phone 
     Employer                 Occupation                                   Years There 
     Business Address              City           State     Zip 
     Monthly Income*           Rent/Mortgage 
     Nearest relative not living with you: Name              Phone Number  Relationship 
     *Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation. 
    Joint Applicant�s Information 
     Name                                                   Account Number 
     Date of Birth            Social Security Number        Driver�s License/State 
     Street Address                City           State     Zip            Years There 
     (  )                     (  )                          (  ) 
     Home Phone               Mobile Phone                  Work Phone 
     Employer                 Occupation                                   Years There 
     Business Address              City           State     Zip 
     Monthly Income*          Rent/Mortgage 
     *Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation. 
    Authorized User(s) 
     An authorized user is a friend or relative who has purchasing privileges with your credit card, but is not legally responsible for the charges. An authorized    
     user is not a joint owner on your account. Authorized users will receive a credit card with your account number and their name printed as the cardholder.    
     ___________________________________________________________________________________________________________ 
     Name to appear on Card 
     ___________________________________________________________________________________________________________ 
     Name to appear on Card 
    Signatures 
     Complete the following if you live in a community property state (AZ, CA, ID, LA, NM, NV, TX, WA, WI) or if you are applying for a joint account: m Married  m Unmarried  m Separated       Off Off Off
     Applicant and Joint Applicant Must Initial Here if You Intend to Apply for Joint Credit _________ Applicant ________ Joint Applicant 
     By signing below, your certify that you are at least 18 years of age (if applying for a Dinero Visa, you certify you are at least 16 years of age) and that everything you have stated in the application is true and complete.   
     You authorize Advancial Federal Credit Union to check your employment history and obtain a credit report. Credit and substitutions may be at Advancial Federal Credit Union�s discretion. You acknowledge that you have read and   
     understand the Important Disclosures provided and understand that, by using the card or authorizing its use, you acknowledge receipt of and agree to all the terms and conditions in the Cardholder Agreement and Disclosure 
     Statement. To the extent permitted by law, you grant us a security interest in all individual and joint share accounts and dividends in which you have an interest, both now and in the future, to secure repayment of your credit   
     card account. You understand that the terms of your account are subject to change as provided in the Cardholder Agreement and Disclosure Statement.   
     Applicant Signature                                    Date 
     Joint Applicant Signature                              Date 
        PLEASE SEE THE REVERSE SIDE FOR IMPORTANT COST INFORMATION CONCERNING THE CARDS 
   CREDIT CARD APPLICATION 
   IMPORTANT DISCLOSURES 
    Interest Rates and Interest Charges 
                         Visa Rewards Plus      Dinero Visa       Savings Secured Visa 
                                0.00% for twelve billing cycles from the date of account opening. 
    Annual Percentage 
    Rate (APR) for     After that, your APR will be   
                                            After that, your APR will be  After that, your APR will be 
    Purchases 
                       8.90% to 14.90%    
                                                 9.90%               16.90% 
                      based on your creditworthiness. 
                                    0.00% for ?rst twelve months of each balance transfer. 
    APR for Balance 
                       After that, your APR will be   
    Transfers                               After that, your APR will be  After that, your APR will be 
                         8.90% to 14.90%, 
                                                  9.90%               16.90% 
                      based on your creditworthiness. 
    APR for Cash         8.90% to 14.90%,   
                                                  9.90%               16.90% 
    Advances          based on your creditworthiness. 
    Penalty APR and 
                                              Not Applicable 
    When it Applies 
                    Your due date is at least 25 days after the close of each billing cycle.We will not charge you interest on   
    Paying Interest 
                    purchases if you pay your entire balance by the due date each month.   
    For Credit Card Tips 
    from the Consumer  To learn more about factors to consider when applying for or using a credit card, visit the 
    Financial Protection  website of the Consumer Financial Protection Bureau at http://www.consumer?nance.gov/learnmore 
    Bureau 
    Fees 
    Annual Fee         None 
    Transactions Fees 
      �    Cash Advance  None 
      �    Balance Transfer  None 
      �    Foreign Transaction  None 
    Penalty Fees 
      � Late Payment    Up to $25 
      � Returned Payment    Up to $25 
   How We Will Calculate Your Balance: We use a method called �average daily balance (including new purchases).� See the Card   
   Agreement for more details. 
   The information about the costs of the cards described in this application is accurate as of March 1, 2017.This information may have 
   changed after that date.To ?nd out what may have changed, write to us at Advancial Federal Credit Union, Lending Department,    
   1845 Woodall Rodgers Fwy., Ste. 1300, Dallas,TX 75201 or call us at 800.322.2709.   
                                                                            Form EE118.3