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
Interest Rates & Interest Charges
Annual Percentage Rate (APR) for Purchases, Balance Transfers and Cash Advances
6.90% APR as of March 1, 2010
The Annual Percentage Rate may vary. The rate will be effective 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.
13.75% APR
Penalty APR and When it Applies
10.90% APR*
The rate will be effective on the first day of each month
and is determined by adding 7.65% 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 90
days delinquent in excess of one time 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.
17.75% APR*
If, at any time during a 12 month period, the Visa Classic
account is 90 days delinquent in excess of one time 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.
How to Avoid Paying Interest/Paying Interest
You have 25 days to repay your balance in full before a finance charge will be imposed.
You have 25 days to repay your balance in full before a finance charge will be imposed.
Minimum Finance Charge
None
None
Method of Computing the Balance for Purchases
Average daily balance, including new purchases.
Average daily balance, including new purchases.
For Credit Card Tips from the Federal Reserve Board
5% of each cash advance ($5.00 minimum, $50.00 maximum)
3% of the transaction amount
None
5% of each cash advance ($5.00 minimum, $50.00 maximum)
3% of the transaction amount
Penalty Fees
Late Payment
Over-the-Credit Limit
Return Payment
$25.00
None
$29.00 return payment fee
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.
None
$29.00 return payment fee
Other Fees
Documentary Evidence
Statement Copy
Rush Delivery Fee
$5.00 per item
$5.00 if available online $3.00 if not available online
$25.00 for card $25.00 for PIN mailer
$5.00 per item
$5.00 if available online $3.00 if not available online
$25.00 for card $25.00 for PIN mailer
*The information about the costs of the card described in this disclosure is accurate as of 3/1/10. 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.
