VISA CREDIT CARD APPLICATION 
Credit Limit Requested $____________________________Account Choice: (Check only one)    □ Individual Account   □ Joint Account   □ Credit Limit Increase  
APPLICANT Note: All applicable sections should be filled out completely.      (Must initial to confirm intent to jointly apply for credit)  __________ __________ 

APPLICANT INFORMATION 

Last Name                             First        Middle                   Taxpayer ID # 

CO-APPLICANT INFORMATION (Complete this section only if co-applicant 
or spouse is applying for a joint account) 
Last Name                         First        Middle                   Taxpayer ID # 

Date of Birth                          DL#                                    # of Dependents  Date of Birth                      DL#                                   # of Dependents 

Home Phone                          Own  /  Rent  /  Other          Monthly Payment  Home Phone                      Own  /  Rent  /  Other           Monthly Payment 

Address                                 City,               State,  Zip       How Long  (Yrs)  Address                             City,               State,  Zip       How Long  (Yrs) 

Previous Address                    City,               State,  Zip       How Long  (Yrs)  Previous Address                City,               State,  Zip       How Long  (Yrs) 

Employer                               Self Employed     Y/N            How Long  (Yrs) 

Employer                           Self Employed     Y/N            How Long  (Yrs) 

Employer Address                  City,                State, Zip        Work Phone 

Employer Address              City,                State, Zip        Work Phone 

Position                                                                            Monthly Income 

Position                                                                        Monthly Income 

Name and Address of Previous Employer                             How Long  (Yrs)  Name and Address of Previous Employer                          How Long  (Yrs) 

Source of Additional Income *                                            Amount per mo. 

Source of Additional Income *                                         Amount per mo. 

Nearest Relative (Not Living With You)    Home Phone          Relationship 

Nearest Relative (Not Living With You)    Home Phone       Relationship 

Where do you bank?                                                          # of Years ____ 
Have you ever borrowed from The Bank of Washington?        Yes ___No ___ 

Where do you bank?                                                       # of Years ____ 
Have you ever borrowed from The Bank of Washington?     Yes ___ No ___ 

*You need not furnish alimony, child support or maintenance income information if you do not want us to consider it in evaluating your application. 
I/We hereby apply for a VISA credit card as indicated above to be issued by The Bank of Washington and certify that the statements herein are true, and  
intended for you to rely thereon to accept or reject this application. By using the card or account, I/we agree to be bound by the terms and conditions of the 
agreement you will provide and all other applicable rules and regulations to be jointly and severely liable with each applicant to repay all debts incurred under  
this account by any applicant or authorized user. In connection with this application, I/we authorize you to check on my/our credit, employment history, credit 
experiences and other business or credit reporting agencies. Any co-applicant acknowledges all the foregoing. 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.  

X ___________________________________________________________     X____________________________________________________ 
Signature                                                                               Date               Signature                                                                                  Date 

INTEREST RATES AND INTEREST CHARGES  

Important Credit Card Information 
FEES  

Annual 
Percentage 
Rates (APRs) for 
Purchases, 
Transfers, and  
Cash Advances 

Minimum 
Interest Charge 

How to Avoid  
Paying Interest  
on Purchases 

For Credit Card 
Tips From the 
Federal Reserve 
Board 

Gold 

Classic 
Variable APR 
13.40%  
These APRs will vary with the market 
based on the Prime Rate. 

Variable APR 
11.40%  

If you are charged interest, the 
charge will be no less than $ .50 for 
Purchases. 
Your due date is at least 24 days 
after the close of each billing cycle. 
We will not charge you any interest 
on purchases if you pay your entire 
balance by the due date each month. 

Annual Fee 

Classic - $12.00 

Gold - $25.00 

Transaction Fees 
  Balance Transfers 
  Cash Advances 
  International 
Transactions  
(i.e. cross border or 
currency conversion) 

Penalty Fees 
  Late payment 
How We Will 
Calculate Your 
Balance 

2% of transfer – Min. $10, Max. $100 
2% of advance – Min. $5, Max $100 
Up to 1% of international 
transaction  

$20 

We use a method called “average daily 
balance (including new transactions)”. 

To learn more about factors to consider when applying for or using a credit card, visit the website of the 
Federal Reserve Board at http://www.federalreserve.gov/creditcard. 

The above information is accurate as of 1/13/16 and is subject to change after this date. Please contact us at 1-877-921-2432 for any change in the required 
information since printed.                                                                                                                                                                                        
REV 1/16                                                                                                                                                                                                           Branch #:_____