2061462 USB WPV App_Cons

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You receive 5,000 WorldPerks Bonus Miles Your friend receives up to 15,000 WorldPerks Bonus Miles Simply ll in your WorldPerks number below and have your friend ll out this application and return it to us. If your
friend is approved and uses the WorldPerks Visa Card, they will receive up to 15,000 WorldPerks Bonus Miles and you
will be rewarded with 5,000 WorldPerks Bonus Miles for referring them. 1 Refer a Friend Application 3 Easy Ways to Apply: Mail: U.S. Bank, P.O. Box 6361
Fargo, ND 58125-6361 Fax: 1-800-670-4834 Primary Applicant First Name Middle Initial Last Name Street Address** (No P.O. Boxes) City State ZIP Code ( ) - - - Area Code and Home Phone Date of Birth Social Security Number $ own rent other $ Monthly Rent/Mortgage Amount Monthly anticipated spend on
WorldPerks Visa Signature Card **U.S. street address required. Applications using business addresses, APOs, FPOs and P.O. Boxes cannot be processed. Employment Information Current Employer or Business Name ( ) Area Code and Business Phone Annual Income* *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 the obligation. Joint Applicant Information (if applying for joint account) Joint Applicant Information (if applying for joint account) First Name Middle Initial Last Name Street Address** (No P.O. Boxes) City State ZIP Code - - - - Date of Birth Social Security Number Annual Income* *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 the obligation. Authorization APPLICANT(S) STATEMENT: By signing below, you understand and agree that U.S. Bank National Association ND (we, us or our), as the creditor and issuer of your Account, will rely on the information provided here in making this credit decision, and you certify that
such information is accurate and complete to the best of your knowledge. If we open an Account based on this application, you will be
individually liable (or, for joint accounts, individually and jointly liable) for all authorized charges and for all fees referred to in the most
recent Cardmember Agreement, which may be amended from time to time. We may request consumer credit reports about you for
evaluating this application and in the future for reviewing Account credit limits, for Account renewal, for servicing and collection purposes,
and for other legitimate purposes associated with your Account. Upon your request, we will inform you if a consumer report was requested
and, if it was, provide you with the name and address of the consumer reporting agency that furnished the report. By signing below, you
also agree that we may verify your employment, income, address and all other information provided with other creditors, credit reporting
agencies, employers, third parties, and through records maintained by federal and state agencies (including any state motor vehicle
department) and waive any rights of confidentiality you may have in that information under applicable law. EXPANDED ACCOUNT ACCESS:
By submitting this application, you request that a) this Account, if opened, be accessible by any card(s) that we or our bank affiliates may
issue to you now or in the future or PIN(s) that you may select now or in the future; and b) for this Account, any card issued to you or PIN
you select access multiple checking, savings, lines of credit or credit card accounts(s) in your name held by us or any of our bank affiliates.
Access means use of a card or account number and PIN to conduct a transaction or obtain information at ATMs or via telephone, personal
computer banking, or any other available method. There are no additional fees or charges for expanded Account access. The fees and
terms disclosed for each Account apply. You understand that at U.S. Bank ATMs, this expanded Account access may be available for up
to five checking, five savings, five lines of credit or credit card accounts, and that at other ATMs and with other methods of access, other
limitations may apply. By signing below, you certify that you have read and understood the disclosures here and you agree to the terms
of this application. I have read and agree to the Applicant Statement and expanded account access disclosure. X Applicant Signature Date X Joint Applicant Signature (joint account only) Date Please see page two for more information Phone: 1-800-369-4086 ext. 9338 Begin here Please provide all information. Incomplete applications cannot be processed. Referring Cardmembers 9- or 12-digit WorldPerks number: Applicants 9- or 12-digit WorldPerks number: I want to apply for the: WorldPerks

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