VISA Credit Card Application

VISA^® Credit Card Application

Complete all applicable fields in this loan application in the spaces provided.

Type of Card - Select One:
Please review the disclosure located at the bottom of this page for APR, fees and other information.

VISA Gold*
No Annual Fee
Prime Rate + 3.65% (Variable Monthly)
$5,000 Minimum Credit Line

VISA Classic
No Annual Fee
13.75% APR (Fixed Rate)
$500 Minimum Credit Line

*$30,000 minimum annual gross income required for a Gold Card. If you are applying for the VISA Gold Card and do not qualify, we will consider this an application for the VISA Classic Card.

Select One:
If you are applying for an individual account in your own name and are relying on your own income or assets and not the income or assets of another person as the basis for repayment of the credit requested, complete only Sections 1 and 3.

If you are applying for a joint account, complete all Sections, providing information in Section 2 about the co-applicant.

If you are applying for an individual account, but are relying on income from alimony, child support, or separate maintenance or on the income or assets of another person as the basis for repayment of the credit requested, complete all Sections to the extent possible, providing information in Section 2 about the person on whose alimony, support, or maintenance payments or income or assets you are relying.

Section 1 - Applicant Information

Full Name (Last, First, Middle)
Member Account No.
Social Security No.
Birth Date
Present Address (Street/City/State/Zip)

Years at Present Address Home Phone Cell Phone
Work Phone Ext.
Email Address
Ages of Dependents
Present Employer (Name and Address)

Date of Hire
Present Supervisor's Name:
Supervisor's Work Phone Ext.
Present Position
Gross Monthly Salary
Previous Employer (Name and Address)
Name
Address
Years with Previous Employer

Are you a U.S. Citizen?

Alimony, child support, or separate maintenance payments need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Other Income (Describe) $

Section 2 - Co-Applicant Information

Full Name (Last, First, Middle)
Member Account No.
Social Security No.
Birth Date
Present Address (Street/City/State/Zip)

Years at Present Address Home Phone Cell Phone
Work Phone Ext.
Email Address
Ages of Dependents
Present Employer (Name and Address)
Name
Address
Date of Hire
Present Supervisor's Name:
Supervisor's Work Phone Ext.
Present Position
Gross Monthly Salary
Previous Employer (Name and Address)
Name
Address
Years with Previous Employer

Are you a U.S. Citizen?

Alimony, child support, or separate maintenance payments need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Other Income (Describe) $

Section 3 - Debt Information
Please list below all debts, including any alimony or child support. You may also list any accounts (paid out or open) which you wish the credit union to consider as a credit reference.

Rent or Mortgage Payable To

Name of Company or Bank

Present Balance Monthly Payment

Auto Financed By

Name of Company or Bank

Present Balance Monthly Payment

Other Debts

Name of Company or Bank

Present Balance Monthly Payment

Other Debts

Name of Company or Bank

Present Balance Monthly Payment

Other Debts

Name of Company or Bank

Present Balance Monthly Payment

**Powerco VISA® Credit Card Disclosure Information**
	VISA Gold	VISA Classic
Annual Percentage Rate	8.65% APR as of June 1, 2008	13.75%
Variable Rate Information	The Annual Percentage Rate may vary. The rate will be effective on the first day of each month and is determined by adding 3.65% to the highest Prime Rate published on the first business day of the previous month in The Wall Street Journal under the Money Rates column.	None
Default Finance Charge	The rate will be effective on the first day of each month and is determined by adding 3.65% to the highest Prime Rate published on the first business day of the previous month in The Wall Street Journal under the Money Rates column. If, at any time during a 12 month period, the VISA Gold account is 60 days delinquent in excess of two times because of failure to make the Minimum Payment (as shown on your Monthly Periodic Statement), the Annual Percentage Rate (APR) for each Purchase, Balance Transfer and Cash Advance is subject to increase.	If, at any time during a 12 month period, the VISA Classic account is 60 days delinquent in excess of two times because of failure to make the Minimum Payment (as shown on your Monthly Periodic Statement), the monthly periodic rate is subject to increase and is equivalent to an Annual Percentage Rate (APR) of 17.75% for each Purchase, Balance Transfer and Cash Advance.
Annual Fees	None	None
Grace Period	You have 25 days to repay your balance for purchases before a finance charge will be imposed.	You have 25 days to repay your balance for purchases before a finance charge will be imposed.
Balance Calculation Method	Average Daily Balance (Including current purchases)	Average Daily Balance (Including current purchases)
Minimum Finance Charge	None	None
Transaction Fee For Purchases and Balance Transfers	None	None
Transaction Fee For Cash Advances	5% of each cash advance ($5 minimum, $50 maximum)	5% of each cash advance ($5 minimum, $50 maximum)
Late Payment Fee	$25	The greater of $15.00 or 10% of the portion of the Minimum Payment Due not paid, but not more than $25.00 during any one billing cycle.
Over The Credit Limit Fee	$25 (if new balance exceeds the assigned limit by 5% or more)	$25 (if new balance exceeds the assigned limit by 5% or more)

The information about the costs of the card described in this disclosure is accurate as of 06/01/08. This information may have changed after that date. To find out what may have changed, call us at (404) 506-3750 or 1-800-633-5217 or write us at 241 Ralph McGill Boulevard, NE, Atlanta, Georgia 30308-3374.

Powerco Federal Credit Union is federally insured by the National Credit Union Administration.
Your savings federally insured to at least $100,000 and backed by the full faith and credit of the United States Government.

Equal Housing Lender. We do business in accordance with the Federal Fair Housing Law and the Equal Credit Opportunity Act.