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  Formerly Known As Glynn Teachers Federal Credit Union  
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CREDIT CARD AGREEMENT
VISA APPLICATION
Card Choice: VISA Account Choice: Individual Account Joint Account
APPLICANT                     Note: all applicable sections should be filled out completely. if not processing of your application may be delayed.
Last Name First Middle
Date of Birth SSN No. of Dependents Home Phone
E-mail Address Years at this address Own Rent Other
Current Address City State Zip Code
IF less than 1 year at current address
Previous Address City State Zip Code
Current Employer Self Employed Yes No Work Phone
Address Position/Occupation
Start Date Monthy Gross Income
IF less than 1 year with current employer
Previous Employer Self Employed Yes No Work Phone
Address   Position/Occupation
Start Date Monthy Gross Income
OTHER INCOME
You need not list income from alimony, child support or separate maintenance unless you wish it to considered for purposes of granting this credit.
SOURCE OF OTHER INCOME
 PHONE
 SINCE
 MONTHLY INCOME $
CO-APPLICANT or SPOUSE                     Complete this section only if co-applicant or spouse is applying for joint account
Last Name First Middle
Date of Birth SSN No. of Dependents Home Phone
E-mail Address Years at this address Own Rent Other
Current Address City State Zip Code
IF less than 1 year at current address
Previous Address City State Zip Code
Current Employer Self Employed Yes No Work Phone
Address Position/Occupation
Start Date Monthy Gross Income
IF less than 1 year with current employer
Previous Employer Self Employed Yes No Work Phone
Address   Position/Occupation
Start Date Monthy Gross Income
OTHER INCOME
You need not list income from alimony, child support or separate maintenance unless you wish it to considered for purposes of granting this credit.
SOURCE OF OTHER INCOME
 PHONE
 SINCE
 MONTHLY INCOME $
OUTSTANDING DEBTS AND OBLIGATIONS
Be sure to list all open accounts with a balance,include child support, alimony and IRS obligations, etc.
A = APPLICANT
C = CO-APPLICANT
INDICATE CODE
A       C 		LIST ALL REGULAR MONTHLY DEBTS OWED BALANCE MONTHLY PAYMENTS
OTHER INFORMATION ABOUT YOU APPLICANT OTHER
IF YOU ANSWER "YES TO ANY QUESTION OTHER THAN #1, EXPLAIN BELOW YES NO YES NO
1. ARE YOU A U.S. CITIZEN OR PERMANENT ALIEN?
2. DO YOU CURRENTLY HAVE ANY OUTSTANDING JUDGEMNTS OR HAVE YOU EVER FILED FOR BANKRUPTCY, HAD A DEBT ADJUSTMENT PLAN CONFIRMED UNDER CHAPTER 13, HAD PROPERTY FORE CLOSED UPON OR REPOSSESSED IN THE LAST 7 YEARS, OR BEEN A PARTY IN A LAWSUIT?
3.
ARE YOU A CO-MAKER, CO-SIGNER OR GUARANTOP ON ANY LOAN NOT LISTED ABOVE?
FOR WHOM TO WHOM
(Name of others Obligated on Loan) (Name of Creditor)
   
If Answered #2 Yes Explain: If Answered #3 Yes Explain:
Personal Reference
RELATIONSHIP HOME PHONE
NAME & ADDRESS OF NEAREST RELATIVE NOT LIVING WITH YOU
CREDIT DISCLOSURES
ANNUAL PERCENTAGE RATE (APR) FOR PURCHASES APR FOR BALANCE TRANSFERS APR FOR CASH ADVANCES PENALTY APR AND WHEN IT APPLIES METHOD OF COMPUTING THE BALANCE FOR PURCHASES LATE PAYMENT FEE OVER THE LIMIT FEE CASH ADVANCE FEE
9.90% 9.90% 9.90% NONE AVERAGE DAILY BALANCE INCLUDING NEW PURCHASES $10.00 NONE $3.00

A finance charge will be imposed on Credit Purchases only if you elect not to pay the entire New Balance shown on your monthly statement for the previous billing cycle within 25 days from the closing date of that statement. If you elect to pay the entire New Balance shown on your previous monthly statement within that 25-day period, a Finance Charge will be imposed on the unpaid average daily balance of such Credit Purchases from the previous statement closing date and on new Credit Purchases from the date of posting to your account during the current billing cycle, and will continue to accrue until the closing date of the billing cycle preceding the date on which the entire New Balance is paid in full or until the date of payment if more than 25 days from the closing date. The Finance Charge for a billing cycle is computed by applying the monthly Periodic Rate to the average daily balance of Credit Purchases, which is determined by dividing the sum of the daily balances during the billing cycle by the number of days in the cycle. Each daily balance of Credit Purchases is determined by adding the outstanding unpaid balance of Credit Purchases at the beginning of the billing cycle to any new Credit Purchases posted to your account, and subtracting any payments as received and credits as posted to your account, but excluding any unpaid Finance Charges. A finance charge will be assessed on cash advances from the date of the cash advance, or the first day of the billing cycle in which the cash advance is posted, whichever is later, and will continue to accrue until payment in full is made. Cash Advances will be calculated in the same manner as explained for Credit Purchases.
SIGNATURE(S)

By submitting this application to the Credit Union, I/we promise that everything is correct to the best of my/our. I/we authorize the Credit Union to obtain credit reports in connection with this application for credit and for any update, renewal or extension of the credit received. I/we understand that the Credit Union will rely on both the representations I/we make in this application and the contents of any credit report it obtains when deciding whether to grant the credit requested. I/we agree to immediately notify you of changes to any of the information provided in this application. I/we agree that my/our account will be subject to the terms and conditions of all applicable agreements and disclosures that will accompany my cards when issued; and that a photocopy or facsimile of this application shall be as binding as the original.

By submitting this application electronically, I/we agree to the same terms that apply to a signed application. If there is a co-applicant on this loan, that co-applicant has authorized the submission of this application. This electronic submission qualifies as my/our signature.

By submitting this application electronically, I/we agree that the Credit Union may decline to process or pay any transaction involving or related to illegal gambling activities.


Note: Please click on the Submit button only one time.
The credit union will respond to your e-mail within one business day.
Please do not use e-mail to request transactions to your account.

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