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Credit Card Application
Credit Card Application :
PLEASE NOTE:
To move from field to field on this form please use the TAB KEY not the ENTER KEY

TO PRINT HIS FORM (in stead of filling it in now online) AND MAIL IT IN PRESS HERE
Email: (Required)
Purpose of Loan:
Credit Limit Request:
Please tell us about yourself :
Member Account Number: (Required)
Social Security Number:
First Name:
Last Name:
Residential Street Address: Street: Apt:
City:
State:
Zip:
How long have you lived at this address? Years Months
Home Phone Number:
Date of Birth:
Number of Dependents:
Marital Status
(If you live in a community property state): 		Married Unmarried Separated
Previous Address
(if at current address less than 2 years): 		Street: Apt:
City:
State:
Zip:
Employment Information:
Name of Employer:
Employer's Address:
City:
State:
Zip:
Phone Number:
Gross Monthly Salary: $
Length of Employment: Years Months
Start Date:
Position or Job Title:
FORMER Employer:
Position or Job Title:
Phone Number:
Employer's Address:
City:
State:
Zip:
Length of Employment: Years Months
Start Date:
Please list any other income. You need not list income from Alimony, Child Support, or Separate Maintenance unless you wish it considered for purposes of granting this credit. Include the source and the monthly dollar amount. Income must be verifiable by paycheck stub, W-2 form or prior year’s tax return.
Please tell us about your co-applicant:
Complete this section only for: (i) joint credit; (ii) with spousal information if your spouse will use or be liable on the account, you will rely on your spouse's income to pay the debt or if you reside in a community property state.
CO_applicant's Name:
CO_applicant's Social Security Number:
Residential Street Address: Street: Apt:
City:
State:
Zip:
How long have you lived at this address? Years Months
Home Phone Number:
Date of Birth:
Number of Dependents:
Marital Status
(If you live in a community property state): 		Married Unmarried Separated
Previous Address
(if at current address less than 2 years): 		Street: Apt:
City:
State:
Zip:
Employment Information:
Name of Employer:
Employer's Address:
City:
State:
Zip:
Phone Number:
Gross Monthly Salary: $
Length of Employment: Years Months
Start Date:
Position or Job Title:
FORMER Employer:
Position or Job Title:
Phone Number:
Employer's Address:
City:
State:
Zip:
Length of Employment: Years Months
Start Date:
Please list any other income. You need not list income from Alimony, Child Support, or Separate Maintenance unless you wish it considered for purposes of granting this credit. Include the source and the monthly dollar amount. Income must be verifiable by paycheck stub, W-2 form or prior year’s tax return.
Before we can process this request we need a Reference :
Nearest Relative NOT living with you :
Name:
Address:
City:
State:
Zip:
Phone Number:
Statement of total indebtedness and liabilities,
this section must be answered:
Name of Creditors:
Interest Rate:
Value of Assets :
Balance Owed :
Monthly Payments:
Mortgage or Rent:
Interest Rate:
Value of Assets :
Balance Owed :
Monthly Payments:
Fair Credit and Charge Card Disclosures :
 
MasterCard/Visa, Classic,
Gold & Platinum
Pricing

Your fixed rate will vary based upon your personal credit history

Tier 1

Tier 2

Tier 3

Tier 4

Tier 5

Tier 6

Annual Percentage Rate for Purchases

7.90%

8.90%

9.90%

13.90%

1 5.90%

17.90%

Annual Percentage Rate for Balance Transfers/Cash Advances

7.90%

8.90%

9.90%

13.90%

15.90%

17.90%

Annual Fee

 

None

 

 

 

Grace Period for Purchases

25 days on purchases if paid in full    

Balance Calculation Method for Purchases

Average Balance (including new purchases)

Transaction Fee for Purchases

 

None

 

 

 

Late Fee

$10 after 15 days

 

 

Over Credit Limit Fee

 

$10

 

 

 

Return Check Fee

 

$20

 

 

 


By submitting this application you are authorizing us to obtain credit reports and make any inquiries we consider appropriate for this application and to tell others about our credit experience with you.

Your rate and term will be determined by individual credit worthiness including income, debt ratio, employment and credit history.

Please notify me by:

    Home Phone
    Work Phone
    E-mail
    Fax (fax number: )
The best time to contact me is:

Special Note: Verification of income and other supporting documentation may be required to complete the processing of this loan application.

Signature required for mailed or faxed applications:

__________________________________    __________________________________
Primary Applicant    CO_applicant

 
580 West Lake Park Blvd. • Suite 150 • Houston, TX 77079 • info@bpfcu.org
    
 
 Local Phone: (281) 870-8000 • Toll Free (888) 907-1413 • Fax (281) 870-9251
    
     
 
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 Page Updated: June 16, 2008
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