Montana Federal Credit Union

VISA Application

Take advantage of the 11.9% APR fixed rate and the best VISA® rate we’ve ever offered. Use the convenient Montana Federal Credit Union Member Express VISA® Application Form on the reverse side of this card. Our 11.9% APR VISA® is just one more way your credit union is working to serve you. Think of the money you’ll save! Just fill out the form below, print it out, send or fax it to Montana Federal Credit Union today!

• No annual VISA® fees to members
• No cash advance transaction fees
• $25 Late Fee
• $25 Over Limit Fee
With Montana Federal Credit Union’s VISA® Card you won’t be overwhelmed with hidden costs or increases in annual percentage rates. FEE FREE TO MEMBERS!

SUMMARY OF TERMS AND CONDITIONS WITH MONTANA FEDERAL CREDIT UNION VISA CARD:

The disclosures are accurate as of date of posting on 1/1/03. Terms are subject to change after 1/1/03.

Members are responsible for any changes to the application and need to notify the credit union with those changes immediately.

Member Name

Credit Union Account Number

Work Phone / Home Phone

Employed By

Hire Date

Social Security Number

Yearly Gross Income

Home Address

City, State and Zip

How Many Years

Date of Birth

Reference (Name, Phone)

Member Name

Credit Union Account Number

Work Phone / Home Phone

Employed By

Hire Date

Social Security Number

Yearly Gross Income

Home Address

City, State and Zip

How Many Years

Date of Birth

Reference (Name, Phone)

X Applicant's Signature_______________________________________ Date_______________________

X Co-applicant's Signature_____________________________________ Date_______________________

In the event that the Visa® credit card applied for above is issued. I (we) agree to read and comply with the terms of the agreements which will be furnished to me (us) with the Visa® card. I (we) further agree that Montana Federal Credit Union may contact any source necessary to determine my credit and financial responsibility. The above information is true and complete. I acknowlege reading the summary of terms and agree to the conditions on the reverse side of this application. Members are responsible for any changes to the above application and need to notify the credit union with those changes immediately.

You may fax this form to Montana Federal Credit Union at (406) 727-8655 or mail it to P.O. Box 5027, Great Falls, MT 59403