American Express Cardmembership Application
IMPORTANT INFORMATION REGARDING YOUR APPLICATION
(lie intori'Miinn m this «.jpplu.;Hion is ji ( ur.iU; iis of 11 '3O-9B This infotnuitinn may havi; changed afU;r that dale Id
find out atinut any ihdfiqes. (iltMse wnte to ns at American [ xpuijss Iravnl Related Services Company. Inc PO Box
;U)H01 Sad lake; City Utah H 4130 Ui call Midi) W 8 4B(J0
By signing and returning this Applntciihin. I ask that an account he uptaiud and a Catd issued and that yon renew and
replace it unless I cancel my account I opine to he bound by the agreement received with the Can! I agree to be
liable tor all chaiyes tn the Ameman I xpiess (/edit Caul issued at my request
I understand that I must provide all the inloiniatiun requested in tint Application and I certify that such information
is complete and accurate I authon/e yen to verity the information on tin: Application and exchange information on
me. including leiiueshny reports from credit lepnitiny agencies I am aware that this information will lie used to
determine my eligibility for the Card and that d my Application is approved, you may contact these sources to update
tins information at any time It I ask whether or not a credit report was requested you will tell me, if you received a
report you will give the name and address of the agency that furnished it I am also aware that information about
me may be used tor marketing and administrative purposes and shared with your affiliates and subsidiaries, unless
I diiect you not to share with your affiliate’s and subsidiaries certain credit information Inther than transaction or
experience mtormatiom about me try writing to you at American Express. PO Box 7B r )7. It lauderdale. R 33339
iPlease include your soci.il security number)
Express Cash: By accepting the Card. I also have tire option to leanest eniullment in your I xpress Cash AIM
program I will receive the terms and conditions, including fees, m the Agreement when I receive the Caul I acknow
ledge Beit I must rail Amem an f.xpiess tu enroll in the [xpress Cash program
An applicant, if married, may apply for a separate account.
Married Wisconsin Residents No provisions ol any marital prope'ty agreement, unilateral agreement, or court
decree under Wisconsin's Marital Property Act will adversely affect a creditor's interest unless prior to the tune credit is
granted, tin* (/editor is Punished a copy of that agreement or decree or is given complete information about the
agreement or decree
New York residents may cont.n
of credit card rates, fees, and yia
the American i xpress Credit Curd i-
■EjgRESS
HIM Cards
1. Prime Rate is 8 0% as of 11
2. See Disclosure above
3. A Saturday-night stay must be included in your itinerary Reservations may only be made
within 21 days of departure Tickets must be purchased within 48 hours of confirming your
reservations Certificates may not be used or combined with any other air travel certificate,
One Pass reward or discount fare offer The electronic travel certificate is nontransferable.
Certificate may not be applied toward previously issued tickets Prepaid tickets are not
permitted with this offer Fares do not include $1 per-flight segment Federal Excise Tax or
passenger facility charge up tu $l2 (depending on routing) Latin American fares do not include
international taxes, fees, and charges up to $67
4. To be eligible, you must apply fur the American Express Credit Card foi students by July 31.
1999, and meet credit approval A connect charge of $0 85 applies to each call. Your American
Express Connections" calling catd charges will be billed tu your American Express Credit Card
A credit of up to $2.35 a month fur 12 months will appear on a separate charge detail statement
from Premiere Technologies The billing summary on your American Express statement will
reflect this discount $2.35 is equal to Premiere's charge for a 10-minute call in the continental
US. and appropriate surcharge Credit will not exceed actual usage Offer valid for
American Express customers only Offer subject to change American Express Connections is a
service mark of American Express Travel Related Services Company, Inc. Telecommunication
services provided by Premiere Technologies, Inc, American Express Travel Related Services
Company, Inc 1998
5. The Buyer's Assurance Plan extends the terms of the original manufacturer's warranty on a
covered product purchased entirely with the American Express Credit Card for a period of time equal
to the duration of the original manufacturer’s warranty, up to one additional year, on U.S warranties
i;t the New York Banking Department to obtain a compaiative listing
ane periods by calling t-800-bl B-8866
isstinti by American [ xpiess Centuriun Bunk
BUSINESS REPLY MAIL
FIRST-CLASS MAIL
AMERICAN EXPRESS CENTURION BANK
C/0 NEW ACCOUNTS
PO BOX 31561
SALT LAKE CITY UT 84131-9984
/30/98 See Disclosure above for additional information
ONDITIONS
TERMS AND Cl
Annual Variable Rate Grace Period
Percentage Rate information* for repayment
for purchases* of the balances
for purchases.
Brum;. /9% Your Annual 30 days on Average daily None $0 50
(15 98, us of Percentage Rate average tor balance
11/30/981 (APR) may vary The purchases if full (including new
Prime .0%(8 0% APR tor purchases balance is paid purchases)
as of 11 /30/981 tor rs determined by by due date
single purchases adding 7 9% (0%
river $2OO for single pur -
Prime + 13 99% chases over S2OO.
171 99% as ot 13 99% for default
11 /30/981 for do eel accounts) to the
faulted accounts * Prime Rate
Over-the-limit fee and late payment fee: $0 to $2O, as determined by applicable law fee for Cash Advances
through f.xpress Cast! 2% uf withdrawal with $2 50 minimum and $2O maximum The lines of credit offered are from
$5OO to $3,000
llro APR for cash advances, purchases, and single purchases over $2OO is 20 9%, 15 9%. and 8 0% respectively as
nl 11/30/98 flit 1 APRs may vary and are determined monthly by adding 7 9%, 0%. 12 9%, and 13 99% to the Prime
Rate tor purchases, single purchases over $2OO, cash advances, and defaulted accounts, respectively The Prime Rate
tin trilling periods ending in any muntlr is the Prime Rate listed in The Well Street Journal on the 15th day (or
preceding business day) of the prior month The APR (Prime Rate + 0%l for single purchases over $2OO will apply
until Hie lust day ol the Inst billing cycle after 90 days tram the date of purchase Thereafter, such purchases will be
subject !U the standard APR tor purchases as described herein Your account is reviewed monthly and will be
cunsideiecl in default if minimum payments are nor timely paid, any account terms are breached, or the account is
otherwise in default as defined nr the Cardmembet agreement, in each case during any portion of the 12-month
period prim tn the biding period ("review period") IA and PR are not currently within American Express Centurion
Bunk's credit card service area, therefore, Cards cannot he issued to residents of these locations
PERMIT NO. 8424 SALT LAKE CITY, UT
1LMi.1.,.11..11....111.1.
ot five years or less. Coverage is limited to covered products costing $lO,OOO or less, excluding
taxes, up to $50,000 per Cardmember per policy year. For more details or to file a claim, call
1 -800-225-3750 Underwritten by AMEX Assurance Company, Administrative Office, Green Bay, Wl.
Coverage is subject to the terms, conditions, and exclusions of Policy AX0953.
6. The Purchase Protection Plan protects a covered item purchased entirely with the American
Express Credit Card against accidental damage and theft for 90 days from the date of purchase,
up to $l,OOO per occurrence, $50,000 per Cardmember per policy year, in excess of other
applicable insurance. For more details or to file a claim, call 1-800-322-1277, Underwritten by
AMEX Assurance Company, Administrative Office, Green Bay, Wl. Coverage is subject to the
terms, conditions, and exclusions of Policy AX0951. Some Corporate Cards and some Optima*
Cards are not eligible for enrollment. Terms and fees for Corporate Cards may vary.
7. Not all services available at all locations and are subject to local laws and cash availability.
8. Withdrawal limit of $l,OOO every 7 days per account, combining Basic and Additional
Cardmember activity Withdrawals are subject to network ATM restrictions and your
Cardmember payment history. The fee for each cash transaction shall be the greater of $2.50
or a 2% maximum transaction fee of $20.00.
9. Registration is not required to access most areas on the Internet. However, registration with the
service allows Cardmembers to access and enter personal information and make transactions
securely. There is no fee to register; however, users are responsible for any phone, Internet Service
Provider (ISP), or AOL fees incurred. To register with the service, users must: (a) provide personal
information such as American Express Card Account (s). Social Security number, and birthdate;
|b) create a user I D Once the registration process is completed, users will receive a password
within 7-10 business days via U.S. mail, which allows them access to their Card account activity.
Cards eligible for registration are all U S.-based Cards. Some Corporate Cards may not be eligible.
DISCLOSURE
Method of Annual Minimum
computing the fee finance
balance for charge,
purchases.
1..1..1..11.1
NO POSTAGE
NECESSARY
IF MAILED
IN THE
UNITED STATES