Fees
       Annual Fee
       -  Annual Fee - Visa Platinum None
       -  Annual Fee - Visa Classic None
       -  Annual Fee - Visa Secured $30.00  
       Transaction Fees
       -  Foreign Transaction Fee 1.00% of each multiple currency transaction in U.S. dollars                Please return completed 
                            0.80% of each single currency transaction in U.S. dollars                        Application to the address 
       Penalty Fees                                                                                        below in a stamped envelope.
       -  Late Payment Fee  Up to $35.00 
       -  Returned Payment Fee Up to $30.00                                                                 Cut off the Application and 
                                                                                                              Solicitation Disclosure 
      How We Will Calculate Your Balance. We use a method called �average daily balance (including new purchases).� 
                                                                                                            and retain for your records.
      Effective Date. 
      The information about the costs of the card described in this application is accurate as of June 1, 2014.  2014.
      This information may have changed after that date. To find out what may have changed, contact the Credit Union. act the Credit Union. ct the Credit Union.
      OTHER DISCLOSURES
      Late Payment Fee  $26.00 or the amount of the required minimum payment, whichever is  uired minimum payment, whichever  uired minimum payment, whichever is FIELDSTONE CREDIT UNION EDIT UNION EDIT UNION Credit Card
                            less, if you are three (3) or more days late in making a payment. In the  r more days late in making a payment. In the more days late in making a payment. In th
                                                                                                           395 NORTH KINZIE AVENUE  KINZIE AVENUE INZIE AVENUE
                            event you fail to make a payment on time in any of the six (6) billing  ake a payment on time in any of the six (6) billing  yment on time in any of the six (6) billi
                                                                                                               BRADLEY IL  60915 RADLEY IL  60915 Y IL  60915 Application
                            cycles following the initial violation, you will be charged $35.00 or the  ng the initial violation, you will be charged $35.00 or th g the initial violation, you will be charged $35.00 or
                            amount of the required minimum payment, whichever is less. of the required minimum payment, whichever is less. f the required minimum payment, whichever is less.
      Returned Payment Fee  $25.00 or the amount of the required minimum payment, whichever  5.00 or the amount of the required minimum paymen 0 or the amount of the required minimum OF
                            is less. In the event a payment is returned in the same or in any of the  is less. In the event a payment is returned in the sa is less. In the event a payment is returned in th
                            six (6) billing cycles following the initial violation, you will be charged  six (6) billing cycles following the initial viola six (6) billing cycles following the initial viol
                            $30.00 or the amount of the required minimum payment, whichever  $30.00 or the amount of the  $30.00 or the amount of the required 
                            is less. is less. s less.                                                        DO NOT M DO NOT MAIL  DO NOT
      Statement Copy Fee    $1.00 $1.00 $1.00
      Document Copy Fee     $12.00 $12.00 $12.0                                                                THIS THIS THIS FORM 
                                                                                                                                                          Visa
      Rush Fee              $35.00 $ $35.00
      Emergency Card Replacement Fee  $150.00 $1 $150.00                                                     W WITHOUT AN 
      Card Recovery Fee     $65.00 $65. $6
                          PROOF                                                                      PROOF     ENVELOPE
                                                                                                                                                     395 North Kinzie Avenue
                                                                                                                                                       Bradley, IL 60915
                                                                                                                                                        (815) 929-1870
                                                                                                                                1-28FDFN00
                                                                                                                                  CCM002
                                                                                                        � CUNA Mutual Group 2009, 10, 12 All Rights Reserved  AXC104
                                                    %
                                                                                                 DATE
                                          OWN RENT
                                                                                                                             395 North Kinzie Avenue     VISA PLATINUM / 
                                            YEARS AT THIS ADDRESS             DATE
                                                                                                                             Bradley, IL 60915  VISA CLASSIC /  VISA SECURED
                            Other                                                              (SEAL)                        (815) 929-1870 Application and Solicitation Disclosure
                                      BUSINESS PHONE/ EXT. (   )
                           ?
                            ACCOUNT NUMBER        INTEREST RATE START DATE
                                                                                                           Interest Rates and Interest Charges
                                                                                                           Annual Percentage Rate (APR) for  Visa Platinum
                                                                                                           Purchases
                               SOCIAL SECURITY NUMBER                                                                            9.99%
                                                               OTHER INCOME $________________ PER ________________ SOURCE S
                            Spouse    
             Credit Card Application
                           ?                           UNMARRIED (Single - Divorced - Widowed)                                   Visa Classic
                                      CELL PHONE  (   ) 
                                                                                                                                 12.99% 99% 99%
                                                                       the a
                                                  MONTHLY PAYMENT $
                                                                                                                                 Visa Secured Visa Secured Visa Secured
                                                                          in th
                                                                        nt or loan 
                                                       SEPARATED  SEPARATED  SEPARATED  nt, statement or decree,  anted or the accou 17.44% 17.44% 17.44%
                                                                  ER ________________ rights of the Credit Union  rights of the Credit Union u ent, statement or decree, 
                            Co-Applicant                           S
                                                                  __ PER ________________                  APR for Balance Transfers e Transfers nsfers Visa Platinum Visa Platinum Visa Platinum
                                      HOME PHONE  (   )        COME
                           ?
                                                            . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   . . . . . . . . . . . . . . . . . . . .   . . . . . . . . . . . . . . . . . . . . . . . INCOME
                                                              U DO NOT CHOOSE TO HAVE IT U DO NOT CHOOSE TO HAVE IT 
                                                                                                                                 9.99% 9.99% .99%
                                                       ED  yment/Income OF  OF MONY, CHILD SUPPORT, O MONY, CHILD SUPPORT, OR SEPA
                                                          ND  IF YOU DO NOT CHOOSE TO HAVE IT CONSIDERED.
                                                     LETE FOR JOINT CREDIT O O OF O O O O
                                                      ERTY STATE: ARRIED                                                         Visa C Visa Classic
                                                      PERTY STATE: MARRIED       You understand that the use of your card will constitute acknowledgment 
                                            . . . . . . . . . . . . . . . . . . MPLETE FOR JOINT CREDIT, S
                           O Other:       NAME (Last - First - Initial) NAM NA DRIVER�S LICENSE NUMBER / STATE DRIVER� DRIVER E-MAIL ADDRESS E-MAIL ADD E-MAIL ADD BIRTH DATE  BIRTH DATE  BIRTH DATE     (   PRESEN PRESENT ADDRESS PRESENT ADDRESS PR PRESENT ADDRESS (Street - City - State - Zip)     . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   MORTGAGE / RENT OWED MORTGAGE / RENT OWED MORTGAGE / RENT OWED TO: MORTGAGE BALANCE MORTGAGE BALANCE MORTGAGE BALANCE $ COMPLETE FOR JOINT CREDIT, SECURED CREDIT OR IF YOU LIVE IN A COMMUNITY PROPERTY STATE:   Employment/Income NAME AND  ADDRESS OF  EMPLOYER NOTICE:  ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE INCOME NEED NOT BE REVEALED  EMPLOYMENT INCOME $________________ PER ________________  NET GROSS X X
                                                                     adversely affect the rights of the Credit Union unless the Credit Union is furnished a  copy of the agreement, statement or decree, or has actual knowledge of its terms,  before the credit is granted or the account is opened. (2) Please sign if you are not  applying for this account or loan with your spouse. The credit being applied for, if  granted, will be incurred in the interest of the marriage or family of the undersigned. SIGNATURE FOR WISCONSIN RESIDENTS ONLY    2.  of receipt and agreement to the terms of the credit card agreement and  disclosures. You grant us a security interest in all individual and joint share  and/or deposit accounts you have with us now and in the future to secure your  credit card account. When you are in default, you authorize us to apply the  balance in these accounts to any amounts due. Shares and deposits in an  Individual Retirement Account, and any other account that would lose special  tax treatment under state or federal law if given as security, are not subject to  the security interest you have given in your shares and deposits. OTHER SIGNATURE 12.99%
                                            OO O OO OO OO OOF %                                                         OO OO OO
                      ropr rop                                                                                                   Visa Secured
                                           S
                                          RENT RENT                            Signatures
                                                                                                                                 17.44%
     A table that includes required credit  card disclosures is provided with this  Application. To obtain any change in  the required information since it was  printed, write to us at the address  stated on this Application. E/ EXT. E/ EXT
                                                                                                 DATE
                                   RO RO RO RO RO RO                                               ______________
                                                                                                           APR for C APR for Cash Advances Visa Platinum
                                          OWN RENT
                         ntor on an accoun ntor on an accoun ER  YEARS AT THIS ADDRESS
                                                                                                     FFICER SIGNATURE  ____      9.99%
                            T NUMBER                                                                     ch and Retain Disclosur
                          P PR PR P P PRO P PRO PRO PRO PR PR PRO PR NT NUMBER
                                                                                               (SEAL) PROOF P P PR PR PROOF P
                                      BUSINESS PHONE/ EXT. (   )                                           Detach and Retain Disclosure for Your Records Visa Classic
                            ACCOUNT NUMBER        INTEREST RATE START DATE
                                                                                                                                 12.99%
                                                                                                        ?
                                                                                                                                 Visa Secured
                               SOCIAL SECURITY NUMBER          OTHER INCOME $________________ PER ________________ SOURCE        17.44%
          395 North Kinzie Avenue Bradley, IL 60915 (815) 929-1870
                                                       UNMARRIED (Single - Divorced - Widowed)             How to Avoid Paying Interest on  Your due date is at least 25 days after the close of each billing cycle. 
                                      CELL PHONE  (   )                                            NO. OF CARDS _____  CREDIT LIMIT $_______________________ CREDIT CARD NUMBER  ____________________________________________________ CREDIT COMMITTEE OR LOAN OFFICER SIGNATURE  _____________________________________________________________________________________ Purchases We will not charge you any interest on purchases if you pay your 
                                                                                                                                 entire balance by the due date each month. 
                                                  MONTHLY PAYMENT $  OHIO RESIDENTS ONLY: The Ohio laws against  discrimination require that all creditors make credit  equally available to all creditworthy customers, and that  For Credit Card Tips from the  To learn more about factors to consider when applying for or 
                 You must complete the Applicant section about yourself and the Other section about your spouse if: (1) you live in or the property  Consumer Financial Protection  using a credit card, visit the website of the Consumer Financial 
                                                                                                     APPROVED  Bureau            Protection Bureau at http://www.consumerfinance.gov/learnmore.
                                                       SEPARATED 
                                      HOME PHONE  (   ) 
                                                            . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
                                                              IF YOU DO NOT CHOOSE TO HAVE IT CONSIDERED.
                  pledged as collateral is located in a community property state (AK, AZ, CA, ID, LA, NM, NV, TX, WA, WI);  (2) your spouse will use the account; or  (3) you are relying on your spouse�s income as a basis for repayment. If you are relying on income from alimony, child support, or separate  maintenance, complete the Other section to the extent possible about the person on whose payments you are relying. Co-Applicant box. You promise that everything you have stated in this application is correct to 
                                                       MARRIED 
                                                                      State Law Notices        X
               Check below to indicate the type of credit for which you are applying. Married Applicants may apply for a separate account. Applicant Employment/Income credit reporting agencies maintain separate credit histories on each individual upon  request. The Ohio Civil Rights Commission administers com pliance with this law. WISCONSIN RESIDENTS ONLY:  (1) No provision of any marital property agreement,  unilateral statement under Section 766.59, or court decree under Section 766.70 will  1.  the best of your knowledge. If there are any important changes you will notify us  in writing immediately. You authorize the Credit Union to obtain credit reports in  connection with this application for credit and for any update, increase, renewal,  extension, or collection of the credit received. You understand that the Credit  Union will rely on the information in this application and your credit report to make  its decision. If you request, the Credit Union will tell you the name and address  of any credit bureau from which it received a credit report on you. It is a crime  to willfully and deliberately provide incomplete or incorrect information in this  application. APPLICANT�S SIGNATURE FOR      DECLINED 
                 ? Individual Credit:  ? Joint Credit: Each applicant must individually complete the appropriate section below. If Co-Borrower is spouse of the applicant, mark the Guarantor: Complete the Other section if you are a guarantor on an account/loan.          ?  Credit Limit Requested: $ _____________________ NAME (Last - First - Initial) DRIVER�S LICENSE NUMBER / STATE E-MAIL ADDRESS BIRTH DATE    PRESENT ADDRESS (Street - City - State - Zip)   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   MORTGAGE / RENT OWED TO: MORTGAGE BALANCE $ COMPLETE FOR JOINT CREDIT, SECURED CREDIT OR IF YOU LIVE IN A COMMUNITY PROPERTY STATE:   NAME AND  ADDRESS OF  EMPLOYER NOTICE:  ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE INCOME NEED NOT BE REVEALED  EMPLOYMENT INCOME $________________ PER ________________  NET GROSS CREDIT UNION  USE ONLY
                                                                                                                               SEE BACK OF PAGE for more important information about your account.