www.citicards.com
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104.90.191.180
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Submitted URL: https://click.online.costco.com/t?r=2&c=168958&l=19929&ctl=7E92ED:B49613392AB85C69816DBBA90F919F864BAD797B5EF9BCDE&
Effective URL: https://www.citicards.com/cards/credit/application/flow.action?app=UNSOL&ID=3405&HKOP=517b68189cd7ed09e7ef55e5d69ae471cde6...
Submission: On May 16 via manual from US — Scanned from DE
Effective URL: https://www.citicards.com/cards/credit/application/flow.action?app=UNSOL&ID=3405&HKOP=517b68189cd7ed09e7ef55e5d69ae471cde6...
Submission: On May 16 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMName: ddStep1Form — POST /cards/credit/application/flow.action
<form id="ddStep1Form" name="ddStep1Form" action="/cards/credit/application/flow.action" method="post" class="ddForm Costco" novalidate="novalidate">
<!-- PayPal changes for June 2017 -->
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<div class="ddBodyWrapper row">
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<div class="modal-dialog modal-lg" role="document">
<div class="modal-content">
<div class="modal-header">
<h4 class="modal-title" id="dashboardModalLabel">Return to Dashboard</h4>
<button type="button" class="close" data-dismiss="modal"><span aria-hidden="true"></span><span class="sr-only">Close</span></button>
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<div class="modal-body">
<div class="row">
<div class="col-xs-12">
<p> Do you want to return to the dashboard and navigate away from the application? </p>
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<a href="#" id="dashboardYesBtn" class="btn btn-default">Yes</a>
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<h4 class="modal-title" id="signOffModalLabel">Sign Off</h4>
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<p> Do you want to sign off and navigate away from the application? </p>
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<div class="pull-right">
<a href="#" id="signOffYesBtn" class="btn btn-default">Yes</a>
<a href="#" class="btn btn-default" data-dismiss="modal">No</a>
</div>
</div>
</div>
</div>
</div>
<div class="container">
<div class="row titleText">
<h1 class="cardOverlayTitle col-sm-offset-4 col-md-offset-3">Costco Anywhere Visa<sup><span class=""smalltext"">®</span></sup> Card by Citi</h1>
</div>
</div>
<div class="row jumbotron ddTitle" style="margin-top: 0px;">
<div class="container">
<div class="row">
<div id="cardOverlayImg" class="col-xs-12 col-sm-4 ddCardImg large PID520"></div>
<div class="col-xs-12 col-sm-8">
<ul id="cardOverlayDesc">
<li>Exclusively for Costco members. Cash back will be provided as an annual credit card reward certificate once your February billing statement from Citi closes and is redeemable for cash or merchandise at US Costco Warehouses. </li>
<li>4% cash back on eligible gas for the first $7,000 per year and then 1% thereafter</li>
<li>3% cash back on restaurants and eligible travel purchases</li>
<li>2% cash back on all other purchases from Costco and Costco.com</li>
<li>1% cash back on all other purchases</li>
</ul>
</div>
</div>
</div>
</div>
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var profilingUrl = 'https://content22.accountonline.com/fp/tags.js?org_id=89oebq5k&session_id=48611eb95edf0d9ab299764d5a00d61f3e439cb833de970a0c2cade2d001937b&allow_reprofile=1';
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<script src="/cards/wv/welcome/js/bcsid.js"></script>
<script src="/cards/wv/welcome/js/chainsaw.js"></script>
<script>
var isCostcoLoggedIn = false;
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<script type="text/javascript">
var isCostco = true;
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<script>
var isPrefilledApp = false;
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<script>
var acqTagging = '{"dynamicData":{"prepopLevel":false,"decision":"","appID":"","products":[{"productName":"Costco Anywhere Visa Card by Citi","pid":"520","sourceCode":"517b68189cd7ed09e7ef55e5d69ae471cde6df6640917685198d6c2c4db5f4d0"}]}}';
</script>
<script>
var authPrefill = false;
</script>
<script type="text/javascript">
var cardData = {
"pid": "PID520",
"desc": ["Exclusively for Costco members. Cash back will be provided as an annual credit card reward certificate once your February billing statement from Citi closes and is redeemable for cash or merchandise at US Costco Warehouses. ",
"4% cash back on eligible gas for the first $7,000 per year and then 1% thereafter", "3% cash back on restaurants and eligible travel purchases", "2% cash back on all other purchases from Costco and Costco.com",
"1% cash back on all other purchases"
],
"title": "Costco Anywhere Visa<sup><span class="smalltext">®</span></sup> Card by Citi"
};
</script>
<script type="text/javascript">
var profile_ind = '';
</script>
<script type="text/javascript">
var countryOptions4 = '';
</script>
<script>
var termsAjaxUrl = "/cards/credit/displayterms/flow.action?HKOP=517b68189cd7ed09e7ef55e5d69ae471cde6df6640917685198d6c2c4db5f4d0&app=UNSOL&embedTNC=Y" + "&JFP_TOKEN=" + JFP_CSRF_TOKEN_AO;
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<script>
var printTermsAjaxUrl = "https://www.citicards.com/cards/credit/displayterms/flow.action?HKOP=517b68189cd7ed09e7ef55e5d69ae471cde6df6640917685198d6c2c4db5f4d0&app=UNSOL&embedTNC=Y" + "&JFP_TOKEN=" + JFP_CSRF_TOKEN_AO;
var ajaxCityStateUrl = "/cards/credit/application/CityStateByZipAction.action?JFP_TOKEN=" + JFP_CSRF_TOKEN_AO + "&stateProvinceCheck=true";
var ajaxUrl = "/cards/credit/application/flow.action?JFP_TOKEN=" + JFP_CSRF_TOKEN_AO;
var formPrefilled = false;
var formPrefilledWithoutErrors = false;
</script>
<script>
var authPrefill = false;
</script>
<script>
var validationOptions = {
"sections": [{
"order": 0,
"id": "ddReferralInfo",
"title": "Branch Referral Information"
}, {
"order": 1,
"id": "ddGeidSection",
"title": "Citi GEID "
}, {
"order": 2,
"id": "ddMembershipInfo",
"title": "Membership Number"
}, {
"order": 3,
"id": "ddAddChngDetails",
"title": "<h2>Are your contact details up to date?</h2>"
}, {
"order": 4,
"id": "ddCostcoWHMembershipName",
"title": "<h2>Are your contact details up to date?</h2>"
}, {
"order": 5,
"id": "ddCostcoWHAddChngDetails",
"title": "<h2>Are your contact details up to date?</h2>"
}, {
"order": 6,
"id": "ddName",
"title": "Personal Information"
}, {
"order": 7,
"id": "ddAddress",
"title": "Address and Contact Information"
}, {
"order": 8,
"id": "ddIdentity",
"title": "Personal Information"
}, {
"order": 9,
"id": "ddPhone",
"title": ""
}, {
"order": 10,
"id": "ddEmail",
"title": "Email Address"
}, {
"order": 11,
"id": "ddSecurityWord",
"title": "Security Word"
}, {
"order": 12,
"id": "ddFinancial",
"title": "Financial Information"
}, {
"order": 13,
"id": "ddAuthorizedUser",
"title": "Authorized User"
}, {
"order": 15,
"id": "ddTerms",
"title": "<sup>1</sup>Terms & Conditions"
}, {
"order": 16,
"id": "ddTermsAndConditions",
"title": ""
}, {
"order": 17,
"id": "ddDisclosure",
"title": "Electronic Disclosure"
}, {
"order": 18,
"id": "ddTermsDisclosures",
"title": ""
}],
"emailDomains": ["msn.com", "me.com", "gmail.com", "juno.com", "yahoo.com", "ymail.com", "hotmail.com", "roadrunner.com", "outlook.com", "windstream.net", "aol.com", "frontier.com", "mail.com", "netzero.net", "comcast.net",
"embarqmail.com", "gmx.com", "suddenlink.net", "zoho.com", "citi.com", "sbcglobal.net", "verizon.net", "att.net", "cox.net", "bellsouth.net", "optonline.net", "charter.net", "live.com", "earthlink.net", "mac.com"
],
"fields": {
"AFFINITY_NUMBER_PRIMARY": {
"label": "Membership Number",
"needsTooltipFocus": true,
"rules": {
"required": true,
"maxlen": 12,
"minlen": 12,
"uniqueValue": ["AFFINITY_NUMBER_EMP1", "AFFINITY_NUMBER_EMP2", "AFFINITY_NUMBER_EMP3"],
"type": "digits"
},
"errors": {
"typeError": "The Membership Number you entered is incorrect. Please enter your Membership Number exactly as you received it.",
"minlenError": "Please enter your 12-digit membership number.",
"requiredError": "Please enter your 12-digit membership number.",
"connectError": "A system error has caused a delay in processing your application. Please try again.",
"nameError": "The membership number or name you entered doesn't match our records.",
"uniqueValue": "Membership Numbers are exclusive to one person. Please enter the Employee's individual Membership Number.",
"ineligibleError3M": "Before applying for a Costco Anywhere Visa<sup>®</sup> Card by Citi, please contact a Costco Membership Associate or call Costco Member Services at 1-800-774-2678.",
"ineligibleError1M": "Before applying for a Costco Anywhere Visa<sup>®</sup> Card by Citi, please contact a Costco Membership Associate or call Costco Member Services at 1-800-774-2678.",
"ineligibleError3M_biz": "Before applying for a Costco Anywhere Visa<sup>®</sup> Business Card by Citi, please contact a Costco Membership Associate or call Costco Member Services at 1-800-774-2678.",
"ineligibleError1M_biz": "Before applying for a Costco Anywhere Visa<sup>®</sup> Business Card by Citi, please contact a Costco Membership Associate or call Costco Member Services at 1-800-774-2678.",
"ecmNameError": "The Costco Membership data does not match your Citi Profile Data. Please click the Profile link above and update your name to match your Costco Membership information and try again"
}
},
"FIRST_NAME": {
"label": "First Name ",
"rules": {
"required": true,
"minlen": 1,
"maxlen": 11,
"type": "name",
"invalidName": true,
"DuplicateAuthName": ["LEGAL_NAME_OF_BUSINESS", "MIDDLE_NAME", "LAST_NAME"]
},
"errors": {
"requiredError": "Enter your first name.",
"minlenError": "At least {0} alphabetical character required.",
"typeError": "Use letters only, no special characters.",
"nameError": "The membership number or name you entered doesn't match our records.",
"connectError": "A system error has caused a delay in processing your application. Please try again.",
"warehouseTruncatedError": "Your name on file exceeds our maximum character limit and has been truncated. If you'd like your name to appear differently, please speak with a Costco associate. Once updates have been made, you will need to restart the application process.",
"warehouseMinPrepopError": "Your name on file does not meet our minimum character limit. For further assistance, please speak with a Costco associate. Once updates have been made, you will need to restart the application process.",
"onlineTruncatedError": "Your name on file exceeds our maximum character limit and has been truncated. If you'd like your name to appear differently, please contact Costco at 1-800-774-2678. Once updates have been made, you will need to restart the application process.",
"onlineMinPrepopError": "Your name on file does not meet our minimum character limit. Please contact Costco at 1-800-774-2678 to update your name. Once updates have been made, you will need to restart the application process.",
"DuplicateAuthName": "Please make sure the Authorized Officer name is different from the Business name",
"invalidName": "You have entered invalid first name."
}
},
"MIDDLE_NAME": {
"label": "Middle Initial",
"rules": {
"maxlen": 1,
"type": "mname"
},
"errors": {
"typeError": "Use letters only or leave blank."
}
},
"LAST_NAME": {
"label": "Last Name",
"rules": {
"required": true,
"minlen": 2,
"maxlen": 22,
"type": "name",
"invalidName": true,
"DuplicateAuthName": ["FIRST_NAME", "MIDDLE_NAME", "LEGAL_NAME_OF_BUSINESS"]
},
"errors": {
"requiredError": "Enter your last name.",
"minlenError": "At least {0} characters are required.",
"typeError": "Use letters only, no special characters.",
"nameError": "The membership number or name you entered doesn't match our records.",
"connectError": "A system error has caused a delay in processing your application. Please try again.",
"warehouseTruncatedError": "Your name on file exceeds our maximum character limit and has been truncated. If you'd like your name to appear differently, please speak with a Costco associate. Once updates have been made, you will need to restart the application process.",
"warehouseMinPrepopError": "Your name on file does not meet our minimum character limit. For further assistance, please speak with a Costco associate. Once updates have been made, you will need to restart the application process.",
"onlineTruncatedError": "Your name on file exceeds our maximum character limit and has been truncated. If you'd like your name to appear differently, please contact Costco at 1-800-774-2678. Once updates have been made, you will need to restart the application process.",
"onlineMinPrepopError": "Your name on file does not meet our minimum character limit. Please contact Costco at 1-800-774-2678 to update your name. Once updates have been made, you will need to restart the application process.",
"DuplicateAuthName": "Please make sure the Authorized Officer name is different from the Business name",
"invalidName": "You have entered invalid last name."
}
},
"SUFFIX": {
"label": "Suffix",
"rules": {
"type": "suffix"
}
},
"ADDRESS_LINE1": {
"label": "Home Address",
"needsTooltipFocus": true,
"rules": {
"required": true,
"minlen": 5,
"maxlen": 24,
"type": "address1NoBox"
},
"errors": {
"requiredError": "Error(s) must be corrected. Street address is required ",
"minlenError": "At least {0} characters are required.",
"typeError": "Home address is required.",
"warehouseTruncatedError": "Your address on file exceeds our maximum character limit and has been truncated. If you'd like your address to appear differently, please speak with a Costco associate. Once updates have been made, you will need to restart the application process.",
"warehouseMinPrepopError": "Your address on file does not meet our minimum character limit. For further assistance, please speak with a Costco associate. Once updates have been made, you will need to restart the application process.",
"onlineTruncatedError": "Your address on file exceeds our maximum character limit and has been truncated. If you'd like your address to appear differently, please contact Costco at 1-800-774-2678. Once updates have been made, you will need to restart the application process.",
"onlineMinPrepopError": "Your address on file does not meet our minimum character limit. For further assistance, please contact Costco at 1-800-774-2678. Once updates have been made, you will need to restart the application process."
}
},
"EDIT_ADDRESSLINE": {
"label": "Home Address",
"needsTooltipFocus": true,
"rules": {
"required": true
}
},
"ADDRESS_LINE2": {
"label": "Apt./Ste.",
"rules": {
"type": "address2",
"maxlen": 30
},
"errors": {
"typeError": "Use letters/numbers only, no special characters."
}
},
"CITY": {
"label": "City",
"rules": {
"required": true,
"minlen": 3,
"maxlen": 22,
"type": "city"
},
"errors": {
"requiredError": "Enter your city",
"minlenError": "At least {0} characters are required.",
"typeError": "Use letters only, no special characters."
}
},
"STATE": {
"label": "State",
"displayOptVal": true,
"rules": {
"required": true,
"type": "state",
"invalidState": {
"AAPidList": "161|056|093|051|160|410|055"
}
},
"errors": {
"requiredError": "Enter your state",
"invalidState": "Your mailing address is located within Puerto Rico or the U.S. Virgin Islands. American Airlines credit card products issued by Citibank, N.A. are not available in Puerto Rico or the U.S. Virgin Islands."
}
},
"ZIP": {
"label": "ZIP Code",
"rules": {
"required": true,
"minlen": 5,
"maxlen": 5,
"type": "zip"
},
"errors": {
"requiredError": "Enter a valid 5-digit ZIP Code.",
"minlenError": "Enter a valid 5-digit ZIP Code.",
"typeError": "Enter a valid 5-digit ZIP Code."
}
},
"ADD_PO_BOX": {
"label": "I'd like to provide a P.O. Box address."
},
"PHYSICAL_ADDRESS_LINE1": {
"label": "P.O. Box",
"needsTooltipFocus": true,
"rules": {
"requireIf": "ADD_PO_BOX",
"minlen": 1,
"maxlen": 8,
"type": "address1POBox"
},
"errors": {
"requiredError": "Enter a valid P.O. Box",
"minlenError": "At least 1 number is required.",
"typeError": "Enter a valid P.O. Box"
}
},
"PHYSICAL_ADDRESS_LINE2": {
"label": "Apt./Ste.",
"rules": {
"type": "address2",
"maxlen": 30
},
"errors": {
"typeError": "Use letters/numbers only, no special characters."
}
},
"PHYSICAL_CITY": {
"label": "City",
"rules": {
"requireIf": "ADD_PO_BOX",
"type": "city",
"minlen": 3,
"maxlen": 22
},
"errors": {
"requiredError": "City is required",
"minlenError": "At least 3 characters are required.",
"typeError": "City is not valid"
}
},
"PHYSICAL_STATE": {
"label": "State",
"displayOptVal": true,
"rules": {
"requireIf": "ADD_PO_BOX",
"type": "state",
"invalidState": {
"AAPidList": "161|056|093|051|160|410|055"
}
},
"errors": {
"requiredError": "State is required.",
"invalidState": "Your mailing address is located within Puerto Rico or the U.S. Virgin Islands. American Airlines credit card products issued by Citibank, N.A. are not available in Puerto Rico or the U.S. Virgin Islands."
}
},
"PHYSICAL_ZIP": {
"label": "ZIP Code",
"rules": {
"requireIf": "ADD_PO_BOX",
"minlen": 5,
"maxlen": 5,
"type": "zip"
},
"errors": {
"requiredError": "Enter a valid 5-digit ZIP Code.",
"minlenError": "Enter a valid 5-digit ZIP Code.",
"typeError": "Enter a valid 5-digit ZIP Code."
}
},
"HOME_PHONE": {
"label": "Home Phone Number",
"needsTooltipFocus": true,
"rules": {
"maxlen": 14,
"type": "usphone"
},
"errors": {
"requiredError": "One 10-digit phone number is required.",
"typeError": "10-digit phone number is required.",
"maxlenError": "10-digit phone number is required."
}
},
"MOBILE_PHONE": {
"label": "Mobile Phone Number",
"needsTooltipFocus": true,
"rules": {
"maxlen": 14,
"type": "usphone"
},
"errors": {
"requiredError": "One 10-digit phone number is required.",
"typeError": "10-digit phone number is required.",
"maxlenError": "Field must be no more than 10 characters."
}
},
"ADD_HOME_PHONE": {
"label": "I want to provide a Home Phone Number"
},
"DOB": {
"label": "Date of Birth (MM-DD-YYYY)",
"rules": {
"required": true,
"validDay": true,
"type": "legalAge"
},
"errors": {
"requiredError": "Enter your date of birth.",
"typeError": "You must be at least 18 years old to apply for a Citi credit card.",
"validDay": "A valid date of birth (MM-DD-YYYY) is required."
}
},
"EMAIL_ADDRESS": {
"label": "Email Address",
"needsTooltipFocus": true,
"rules": {
"type": "email",
"minlen": 6,
"maxlen": 50
},
"errors": {
"requiredError": "Email address is required.",
"typeError": "Enter a valid email address using the format user@domain.com",
"minlenError": "Enter a valid email address using the format user@domain.com"
}
},
"ESIGN": {},
"SSN": {
"label": "Social Security Number",
"needsTooltipFocus": true,
"rules": {
"required": true,
"maxlen": 11,
"type": "ssn"
},
"errors": {
"requiredError": "Enter your 9-digit Social Security Number",
"typeError": "Enter your 9-digit Social Security Number",
"maxlenError": "Enter your 9-digit Social Security Number"
}
},
"COUNTRY_OF_CITIZENSHIP": {
"label": "Country of Citizenship",
"rules": {
"required": true
},
"errors": {
"requiredError": "A Country of Citizenship is required."
}
},
"CONSUMER_ARE_YOU_A_US_CITIZEN": {},
"ANNUAL_INCOME": {
"label": "Total Annual Income",
"needsTooltipFocus": true,
"rules": {
"required": true,
"maxlen": 14,
"type": "wholeDollars"
},
"errors": {
"requiredError": "Enter your total annual income",
"typeError": "Use numbers only, no special characters."
},
"warningRules": {
"minLimit": {
"value": 15000,
"displaysAllowed": 1,
"displays": 0
}
},
"warnings": {
"minLimit": "Please verify you've entered your Total <b>Annual</b> Income."
}
},
"ADD_NON_TAXABLE_INCOME": {
"label": "Part of my total annual income is exempt from U.S. federal income tax"
},
"NON_TAX_INCOME": {
"label": "Non-Taxable Annual Income",
"needsTooltipFocus": true,
"rules": {
"maxlen": 14,
"type": "wholeDollars",
"isLessThan": ["ANNUAL_INCOME"],
"requireIf": "ADD_NON_TAXABLE_INCOME"
},
"errors": {
"requiredError": "Enter your total annual non taxable income",
"invalidError": "Your total annual non-taxable income must be less than your total annual income",
"isLessThan": "Your total annual non-taxable income must be less than your total annual income"
}
},
"MRTG_RENT_AMT": {
"label": "Monthly Mortgage/Rent Payment",
"needsTooltipFocus": true,
"rules": {
"required": true,
"maxlen": 9,
"type": "wholeDollars"
},
"errors": {
"requiredError": "Enter your monthly mortgage/rent payment",
"typeError": "Use numbers only, no special characters."
}
},
"CHECKING_ACCOUNT": {
"label": "Checking"
},
"SAVING_ACCOUNT": {
"label": "Savings"
},
"MONEY_MARKET": {
"label": "Money Market"
},
"TERMS_CHECK": {
"label": "",
"rules": {
"required": true
},
"errors": {
"requiredError": "To continue, you must check the box to indicate that you've read and agree to the Terms & Conditions."
}
},
"DISCLOSURE_READ": {
"label": "",
"rules": {
"required": true
},
"errors": {
"requiredError": "To continue, you must agree to receive account opening disclosures electronically and that your computer meets electronic requirements."
}
},
"SECPASSTYPE_CODE": {
"label": "Security Word Hint",
"needsTooltipFocus": true,
"rules": {
"required": true,
"type": "mmnHint"
},
"errors": {
"requiredError": "Select a question from the drop-down list."
}
},
"MOTHERS_MAIDEN_NAME": {
"label": "Security Word",
"needsTooltipFocus": true,
"rules": {
"required": true,
"minlen": 1,
"maxlen": 10,
"type": "mmn"
},
"errors": {
"requiredError": "Enter a security word.",
"minlenError": "Security Word must be at least {0} characters",
"typeError": "Security Word is not valid"
}
},
"authUser": {
"label": "I want to add an Authorized User to this account now.",
"needsTooltipFocus": true
},
"authUserAddress": {
"label": "Address is the same as primary cardmember."
},
"AFFINITY_NUMBER_SECONDARY": {
"label": "Membership Number",
"needsTooltipFocus": true,
"rules": {
"requireIf": "authUser",
"maxlen": 12,
"minlen": 12,
"type": "digits"
},
"errors": {
"requiredError": "Please enter the Authorized User's 12-digit membership number.",
"uniqueValueError": "Please enter the Authorized User's membership number. This number is different than the primary user's membership number.",
"typeError": "The Membership Number you entered is incorrect. Please enter your Membership Number exactly as you received it.",
"minlenError": "Please enter the Authorized User's 12-digit membership number.",
"connectError": "A system error has caused a delay in processing your application. Please try again.",
"nameError": "The membership number or name you entered doesn't match our records.",
"ineligibleError1M": "Before applying for a Costco Anywhere Visa<sup>®</sup> Card by Citi, please contact a Costco Membership Associate or call Costco Member Services at 1-800-774-2678.",
"duplicateMembershipError": "Membership Numbers are exclusive to one person. Please enter the Employee's individual Membership Number.",
"ineligibleError3M": "Before applying for a Costco Anywhere Visa<sup>®</sup> Card by Citi, please contact a Costco Membership Associate or call Costco Member Services at 1-800-774-2678."
}
},
"SECONDARYSSN": {
"label": "Last 4 of Social Security Number",
"rules": {
"requireIf": "authUser",
"minlen": 4,
"maxlen": 4,
"type": "digits"
},
"errors": {
"requiredError": "Please enter the last 4 digits of the social security number.",
"maxlenError": "Please enter the last 4 digits of the social security number.",
"typeError": "Please enter the last 4 digits of the social security number."
}
},
"AUTH_FIRST_NAME_1": {
"label": "First Name",
"rules": {
"requireIf": "authUser",
"minlen": 1,
"maxlen": 11,
"type": "name"
},
"errors": {
"requiredError": "First name is required. No titles, prefixes or special characters.",
"minlenError": "At least 1 alphabetical character required.",
"typeError": "Use letters only, no special characters.",
"connectError": "A system error has caused a delay in processing your application. Please try again.",
"nameError": "The membership number or name you entered doesn't match our records.",
"warehouseTruncatedError": "Your name on file exceeds our maximum character limit and has been truncated. If you'd like your name to appear differently, please speak with a Costco associate. Once updates have been made, you will need to restart the application process.",
"warehouseMinPrepopError": "Your name on file does not meet our minimum character limit. For further assistance, please speak with a Costco associate. Once updates have been made, you will need to restart the application process.",
"onlineTruncatedError": "Your name on file exceeds our maximum character limit and has been truncated. If you'd like your name to appear differently, please contact Costco at 1-800-774-2678. Once updates have been made, you will need to restart the application process.",
"onlineMinPrepopError": "Your name on file does not meet our minimum character limit. Please contact Costco at 1-800-774-2678 to update your name. Once updates have been made, you will need to restart the application process."
}
},
"AUTH_MIDDLE_INITIAL_1": {
"label": "Middle Initial",
"rules": {
"maxlen": 1,
"type": "mname"
},
"errors": {
"typeError": "Use letters only or leave blank."
}
},
"AUTH_LAST_NAME_1": {
"label": "Last Name",
"rules": {
"requireIf": "authUser",
"minlen": 2,
"maxlen": 22,
"type": "name"
},
"errors": {
"requiredError": "Last name is required. No titles, prefixes or special characters.",
"minlenError": "At least {0} characters are required.",
"typeError": "Use letters only, no special characters.",
"connectError": "A system error has caused a delay in processing your application. Please try again.",
"nameError": "The membership number or name you entered doesn't match our records.",
"warehouseTruncatedError": "Your name on file exceeds our maximum character limit and has been truncated. If you'd like your name to appear differently, please speak with a Costco associate. Once updates have been made, you will need to restart the application process.",
"warehouseMinPrepopError": "Your name on file does not meet our minimum character limit. For further assistance, please speak with a Costco associate. Once updates have been made, you will need to restart the application process.",
"onlineTruncatedError": "Your name on file exceeds our maximum character limit and has been truncated. If you'd like your name to appear differently, please contact Costco at 1-800-774-2678. Once updates have been made, you will need to restart the application process.",
"onlineMinPrepopError": "Your name on file does not meet our minimum character limit. Please contact Costco at 1-800-774-2678 to update your name. Once updates have been made, you will need to restart the application process.",
"sectionLevelDuplicateError": "Please make sure the Authorized User is different from the Primary Cardmember.",
"fieldLevelDuplicateError": "Error must be corrected."
}
},
"AUTH_SUFFIX_1": {
"label": "Suffix",
"rules": {
"type": "suffix"
}
},
"AUTH_DOB": {
"label": "Date of Birth (MM-DD-YYYY)",
"rules": {
"requireIf": "authUser",
"validDay": true,
"type": "future"
},
"errors": {
"requiredError": "Enter this perons's Date of Birth.",
"validDay": "A valid date of birth (MM-DD-YYYY) is required.",
"ddNonFutureDate": "Please select a valid Date of Birth."
}
},
"EDIT_ADDRESSLINE_AUTH": {
"label": "Home Address",
"needsTooltipFocus": true,
"rules": {
"requireIf": "authUser"
}
},
"AUTHC_ADDRESS1": {
"label": "Home Address",
"needsTooltipFocus": true,
"rules": {
"requireIf": "authUser",
"minlen": 5,
"maxlen": 24,
"type": "address1NoBox"
},
"errors": {
"requiredError": "Street address is required.",
"minlenError": "Street address must be at least 5 characters",
"maxlenError": "Field must be no more than 24 characters.",
"typeError": "Error(s) must be corrected. Street address is required"
}
},
"AUTHC_ADDRESS2": {
"label": "Apt./Ste.",
"rules": {
"type": "address2",
"maxlen": 30
},
"errors": {
"typeError": "Suite/apt is not valid"
}
},
"AUTHC_ZIP": {
"label": "ZIP Code",
"rules": {
"requireIf": "authUser",
"minlen": 5,
"maxlen": 5,
"type": "zip"
},
"errors": {
"requiredError": "ZIP Code is required.",
"minlenError": "ZIP Code must be 5 digits",
"typeError": "ZIP Code must only be numbers"
}
},
"AUTHC_CITY": {
"label": "City",
"rules": {
"requireIf": "authUser",
"type": "city",
"minlen": 3,
"maxlen": 22
},
"errors": {
"requiredError": "City is required.",
"minlenError": "City must be at least 3 characters.",
"typeError": "City is not valid"
}
},
"AUTHC_STATE": {
"label": "State",
"displayOptVal": true,
"rules": {
"requireIf": "authUser",
"type": "state",
"invalidState": {
"AAPidList": "161|056|093|051|160|410|055"
}
},
"errors": {
"requiredError": "State is required.",
"invalidState": "Your mailing address is located within Puerto Rico or the U.S. Virgin Islands. American Airlines credit card products issued by Citibank, N.A. are not available in Puerto Rico or the U.S. Virgin Islands."
}
},
"TERMS_DISCLOSURE": {
"label": "",
"rules": {
"required": true
},
"errors": {
"requiredError": "To continue, you must check the box to indicate that you've read and agree to the Terms & Conditions."
}
}
}
};
</script>
<input id="IS_IOS" name="IS_IOS" type="hidden" aria-labelledby="IS_IOS-label">
<section class="ddSection" id="ddGreeting">
<div class="container">
<div class="ddSubSection noBorder noMarginBottom">
<div class="ddErrorSummaryWrapper row" style="display: none">
<div class="icon error icon-page-error"></div><span id="ddErrorSummary">To continue, complete or fix <span id="number">#</span> <span id="grammar">entries</span>
below.</span><a href="#" button="" id="ddErrorSummaryLink">Go to the first entry.</a>
</div>
<div class="row">
<div class="col-xs-12 col-sm-6">
<h1>Tell Us About Yourself</h1>
<p class="optionalLabel">(All fields are required unless specified optional)</p>
</div>
<div class="col-xs-12 col-sm-6">
</div>
</div>
</div>
</div>
</section>
<!-- For Expedia mail implementation -->
<!-- For Expedia mail implementation End -->
<section class="ddSection" id="ddMembershipInfo">
<div class="container">
<div class="ddSubSection noMargin">
<div class="ddSectionTitle">
<h2>Membership Number</h2>
</div>
<div class="row">
<div class="form-group col-xs-12 col-sm-6 col-md-4">
<label for="AFFINITY_NUMBER_PRIMARY-citiTextBlur" id="AFFINITY_NUMBER_PRIMARY-label">
<p>Membership Number </p>
<button tabindex="0" class="btn btn-info helpicon" data-toggle="popover" data-close="button" data-placement="top"
data-content="You must have an active Costco membership in your name. Citi may cancel your Card Account and participation in this program if you do not maintain your Costco membership. You must maintain your Costco membership to redeem Costco Cash Rewards earned with the Card."
data-container="body" data-html="true"
data-template="<div class="popover" role="tooltip"><div class="arrow"></div><h3 class="popover-title"></h3><div class="popover-content"></div><button class="popover-close-button">close</button></div>"
data-original-title="Membership Number" role="button" aria-label="Membership Number Tooltip Button">?</button>
</label>
<input value="" type="tel" id="AFFINITY_NUMBER_PRIMARY-citiTextBlur" name="AFFINITY_NUMBER_PRIMARY-citiTextBlur" class="form-control" autocomplete="off" aria-required="true" aria-labelledby="AFFINITY_NUMBER_PRIMARY-label" maxlength="12"
minlength="12"><input type="hidden" name="AFFINITY_NUMBER_PRIMARY" id="AFFINITY_NUMBER_PRIMARY" value="" maxlength="12" minlength="12" class="form-control">
</div>
</div>
</div>
</div>
</section>
<section class="ddSection" id="ddName">
<div class="container">
<div class="ddSubSection noBorder noMarginBottom">
<div class="ddSectionTitle">
<h2>Personal Information</h2>
</div>
<div class="row">
<div class="form-group col-xs-12 col-sm-6 col-md-4">
<label for="FIRST_NAME" id="FIRST_NAME-label">
<p>First Name </p>
</label>
<input value="" type="text" id="FIRST_NAME" name="FIRST_NAME" class="form-control" aria-required="true" aria-labelledby="FIRST_NAME-label" minlength="1" maxlength="11">
</div>
<div class="form-group col-xs-12 col-sm-4 col-md-2">
<label for="MIDDLE_NAME" id="MIDDLE_NAME-label">
<p>Middle Initial <span class="fieldPrompt"><abbr title="Optional">(opt.)</abbr></span></p>
</label> <input value="" type="text" id="MIDDLE_NAME" name="MIDDLE_NAME" class="form-control" aria-labelledby="MIDDLE_NAME-label" maxlength="1">
</div>
<div class="clear visible-sm"></div>
<div class="form-group col-xs-12 col-sm-8 col-md-4">
<label for="LAST_NAME" id="LAST_NAME-label">
<p>Last Name </p>
</label>
<input value="" type="text" id="LAST_NAME" name="LAST_NAME" class="form-control" aria-required="true" aria-labelledby="LAST_NAME-label" minlength="2" maxlength="22">
</div>
<div class="form-group col-xs-12 col-sm-4 col-md-2">
<label for="SUFFIX" id="SUFFIX-label">
<p>Suffix <span class="fieldPrompt"><abbr title="Optional">(opt.)</abbr></span></p>
</label> <select id="SUFFIX" name="SUFFIX" class="form-control" aria-labelledby="SUFFIX-label">
<option value="" selected=""> </option>
<option value="SR">Sr</option>
<option value="JR">Jr</option>
<option value="II">II</option>
<option value="III">III</option>
<option value="IV">IV</option>
</select>
</div>
</div>
</div>
</div>
</section>
<section class="ddSection" id="ddAddress">
<div class="container">
<div class="ddSubSection noMarginBottom">
<!-- Changes started for EditAdddress Change -->
<div class="row">
<div class="form-group col-xs-12 col-sm-6 col-md-4">
<label for="EDIT_ADDRESSLINE" id="EDIT_ADDRESSLINE-label">
<p>Home Address </p>
<button tabindex="0" class="btn btn-info helpicon" data-toggle="popover" data-close="button" data-placement="top"
data-template="<div class="popover" role="tooltip"><div class="arrow"></div><h3 class="popover-title"></h3><div class="popover-content"></div><button class="popover-close-button">close</button></div>"
data-original-title="Home Address" data-content="You must provide your home address. No P.O. boxes, please." data-container="body" data-html="true" role="button" aria-label="Home Address Tooltip Button">?</button>
</label> <textarea rows="3" cols="50" type="text" id="EDIT_ADDRESSLINE" name="EDIT_ADDRESSLINE" value="" class="form-control"></textarea>
</div>
</div>
<!-- Change ended for EditAdddress Change -->
<div class="row" style="display: none;" role="group" aria-labelledby="ADDRESS_LINE1-label">
<div class="row">
<div class="form-group col-xs-12 col-sm-6 col-md-4">
<label for="ADDRESS_LINE1" id="ADDRESS_LINE1-label">
<p>Home Address </p>
<button tabindex="0" id="homeaddresstooltip" class="btn btn-info helpicon" data-toggle="popover" data-close="button" data-placement="top"
data-template="<div class="popover" role="tooltip"><div class="arrow"></div><h3 class="popover-title"></h3><div class="popover-content"></div><button class="popover-close-button">close</button></div>"
data-original-title="Home Address" data-content="You must provide your home address. No P.O. boxes, please." data-container="body" data-html="true" role="button" aria-label="Home Address Tooltip Button">?</button>
</label> <input value="" type="text" id="ADDRESS_LINE1" name="ADDRESS_LINE1" class="form-control pac-target-input" aria-labelledby="ADDRESS_LINE1-label" minlength="5" maxlength="24" placeholder="" autocomplete="off">
</div>
<div class="form-group col-xs-12 col-sm-4 col-md-2">
<label for="ADDRESS_LINE2" id="ADDRESS_LINE2-label">
<p>Apt./Ste. <span class="fieldPrompt"><abbr title="Optional">(opt.)</abbr></span></p>
</label> <input value="" type="text" id="ADDRESS_LINE2" name="ADDRESS_LINE2" class="form-control" aria-labelledby="ADDRESS_LINE2-label" maxlength="30">
</div>
<div class="form-group col-xs-12 col-sm-4 col-md-2">
<label for="ZIP" id="ZIP-label">
<p>ZIP Code </p>
</label> <input value="" type="tel" id="ZIP" name="ZIP" class="form-control" aria-labelledby="ZIP-label" minlength="5" maxlength="5">
</div>
</div>
<div class="row">
<div class="form-group col-xs-12 col-sm-4 col-md-2">
<label for="CITY" id="CITY-label">
<p>City </p>
</label> <input value="" type="text" id="CITY" name="CITY" class="form-control ddAutofill" aria-labelledby="CITY-label" minlength="3" maxlength="22">
</div>
<div class="form-group col-xs-12 col-sm-4 col-md-2">
<label for="STATE" id="STATE-label">
<p>State </p>
</label> <select id="STATE" name="STATE" class="form-control ddAutofill" aria-labelledby="STATE-label">
<option value="STATE" disabled="" selected=""> </option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AS">American Samoa</option>
<option value="AA">Armed Forces-AA</option>
<option value="AE">Armed Forces-AE</option>
<option value="AP">Armed Forces-AP</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="MP">Northern Mariana Islands</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="VI">US Virgin Islands</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
</div>
</div>
</div>
<div class="row">
<div class="form-group col-xs-12 col-md-12 col-sm-12">
<fieldset>
<div class="checkbox">
<input id="ADD_PO_BOX" name="ADD_PO_BOX" value="ADD_PO_BOX" class="hasExpandableContent" type="checkbox" aria-labelledby="ADD_PO_BOX-label">
<label for="ADD_PO_BOX" id="ADD_PO_BOX-label">
<p>I'd like to provide a P.O. Box address. <span class="fieldPrompt"><abbr title="Optional">(opt.)</abbr></span></p>
</label>
</div>
</fieldset>
</div>
</div>
<div class="row expandablecontent noBorder" role="group" aria-labelledby="PHYSICAL_ADDRESS_LINE1-label">
<div class="row">
<div class="form-group col-xs-12 col-sm-6 col-md-4">
<label for="PHYSICAL_ADDRESS_LINE1" id="PHYSICAL_ADDRESS_LINE1-label">
<p>P.O. Box </p>
<button tabindex="0" class="btn btn-info helpicon" data-toggle="popover" data-close="button" data-placement="top"
data-template="<div class="popover" role="tooltip"><div class="arrow"></div><h3 class="popover-title"></h3><div class="popover-content"></div><button class="popover-close-button">close</button></div>"
data-original-title="P.O Box" data-content="Please enter PO Box Number Only." data-container="body" data-html="true" role="button" aria-label="P.O Box Tooltip Button">?</button>
</label> <input type="text" id="PHYSICAL_ADDRESS_LINE1" name="PHYSICAL_ADDRESS_LINE1" value="" class="form-control" aria-labelledby="PHYSICAL_ADDRESS_LINE1-label" minlength="1" maxlength="8">
</div>
<div class="form-group col-xs-12 col-sm-4 col-md-2">
<label for="PHYSICAL_ZIP" id="PHYSICAL_ZIP-label">
<p>ZIP Code </p>
</label> <input type="tel" value="" id="PHYSICAL_ZIP" name="PHYSICAL_ZIP" class="form-control" aria-labelledby="PHYSICAL_ZIP-label" minlength="5" maxlength="5">
</div>
</div>
<div class="row">
<div class="form-group col-xs-12 col-sm-4 col-md-2">
<label for="PHYSICAL_CITY" id="PHYSICAL_CITY-label">
<p>City </p>
</label> <input type="text" value="" id="PHYSICAL_CITY" name="PHYSICAL_CITY" class="form-control ddAutofill" aria-labelledby="PHYSICAL_CITY-label" minlength="3" maxlength="22">
</div>
<div class="form-group col-xs-12 col-sm-4 col-md-2">
<label for="PHYSICAL_STATE" id="PHYSICAL_STATE-label">
<p>State </p>
</label> <select id="PHYSICAL_STATE" name="PHYSICAL_STATE" class="form-control ddAutofill" aria-labelledby="PHYSICAL_STATE-label">
<option value="STATE" disabled="" selected=""> </option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AS">American Samoa</option>
<option value="AA">Armed Forces-AA</option>
<option value="AE">Armed Forces-AE</option>
<option value="AP">Armed Forces-AP</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="MP">Northern Mariana Islands</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="VI">US Virgin Islands</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
</div>
</div>
</div>
</div>
</div>
</section>
<section class="ddSection" id="ddIdentity">
<div class="container">
<fieldset>
<div class="ddSubSection noMargin">
<div class="row">
<div class="form-group col-xs-12 col-sm-6 col-md-4">
<label for="SSN-citiTextBlur" id="SSN-label">
<p>Social Security Number </p><button tabindex="0" class="btn btn-info helpicon" data-toggle="popover" data-close="button" data-placement="top"
data-template="<div class="popover" role="tooltip"><div class="arrow"></div><h3 class="popover-title"></h3><div class="popover-content"></div><button class="popover-close-button">close</button></div>"
data-content="You authorize Citibank, N.A. (1) to disclose your name, Social Security Number, and date of birth to Experian to verify if the information you submit matches Social Security Administration records as described in the Terms and Conditions of Offer below and (2) to use this information to check your credit history with a national credit bureau when processing your application."
data-original-title="Social Security Number" data-container="body" data-html="true" role="button" aria-label="Social Security Number Tooltip Button">?</button>
</label> <input type="tel" id="SSN-citiTextBlur" name="SSN-citiTextBlur" class="form-control" aria-labelledby="SSN-label" maxlength="11"><input type="hidden" name="SSN" id="SSN" value="" maxlength="11" class="form-control">
</div>
<div class="form-group col-xs-12 col-sm-4 col-md-4">
<label for="DOB-citiTextBlur" id="DOB-label">
<p>Date of Birth (MM-DD-YYYY) </p>
</label>
<input type="tel" id="DOB-citiTextBlur" name="DOB-citiTextBlur" class="form-control" aria-labelledby="DOB-label"><input type="hidden" name="DOB" id="DOB" value="" class="form-control">
</div>
</div>
<div class="row">
<fieldset>
<div class="row">
<div class="form-group col-md-4 col-sm-9 col-xs-12 ddCountrySelect" style="display: block;">
<label for="COUNTRY_OF_CITIZENSHIP" id="COUNTRY_OF_CITIZENSHIP-label">
<p>Country of Citizenship </p>
</label> <select id="COUNTRY_OF_CITIZENSHIP" name="COUNTRY_OF_CITIZENSHIP" class="form-control" aria-labelledby="COUNTRY_OF_CITIZENSHIP-label">
<option selected="" value=""></option>
<option value="004">Afghanistan</option>
<option value="248">Aland Islands</option>
<option value="008">Albania</option>
<option value="012">Algeria</option>
<option value="016">American Samoa</option>
<option value="020">Andorra</option>
<option value="024">Angola</option>
<option value="660">Anguilla</option>
<option value="010">Antarctica</option>
<option value="028">Antigua & Barbuda</option>
<option value="032">Argentina</option>
<option value="051">Armenia</option>
<option value="533">Aruba</option>
<option value="036">Australia</option>
<option value="040">Austria</option>
<option value="031">Azerbaijan</option>
<option value="044">Bahamas</option>
<option value="048">Bahrain</option>
<option value="050">Bangladesh</option>
<option value="052">Barbados</option>
<option value="112">Belarus</option>
<option value="056">Belgium</option>
<option value="084">Belize</option>
<option value="204">Benin</option>
<option value="060">Bermuda</option>
<option value="064">Bhutan</option>
<option value="068">Bolivia, Plurinational State of</option>
<option value="535">Bonaire, St. Eustatius & Saba</option>
<option value="070">Bosnia & Herzegovina</option>
<option value="072">Botswana</option>
<option value="074">Bouvet Island</option>
<option value="076">Brazil</option>
<option value="086">British Indian Ocean Territory</option>
<option value="092">British Virgin Islands</option>
<option value="096">Brunei Darussalam</option>
<option value="100">Bulgaria</option>
<option value="854">Burkina Faso</option>
<option value="108">Burundi</option>
<option value="116">Cambodia</option>
<option value="120">Cameroon, United Republic of</option>
<option value="124">Canada</option>
<option value="132">Cape Verde Islands</option>
<option value="136">Cayman Islands</option>
<option value="140">Central African Republic</option>
<option value="148">Chad</option>
<option value="152">Chile</option>
<option value="156">China</option>
<option value="162">Christmas Island</option>
<option value="166">Cocos (Keeling) Islands</option>
<option value="170">Colombia</option>
<option value="174">Comoros</option>
<option value="178">Congo</option>
<option value="184">Cook Islands</option>
<option value="188">Costa Rica</option>
<option value="384">Cote d Ivoire (Ivory Coast)</option>
<option value="191">Croatia</option>
<option value="192">Cuba</option>
<option value="531">Curacao</option>
<option value="196">Cyprus</option>
<option value="203">Czech Republic</option>
<option value="180">Democratic Republic of the Congo</option>
<option value="208">Denmark</option>
<option value="262">Djibouti</option>
<option value="212">Dominica</option>
<option value="214">Dominican Republic</option>
<option value="218">Ecuador</option>
<option value="818">Egypt</option>
<option value="222">El Salvador</option>
<option value="226">Equatorial Guinea</option>
<option value="232">Eritrea</option>
<option value="233">Estonia</option>
<option value="230">Ethiopia</option>
<option value="238">Falkland Islands (Malvinas)</option>
<option value="234">Faroe Islands</option>
<option value="242">Fiji</option>
<option value="246">Finland</option>
<option value="250">France</option>
<option value="254">French Guiana</option>
<option value="258">French Polynesia</option>
<option value="260">French Southern Territory</option>
<option value="266">Gabon</option>
<option value="270">Gambia</option>
<option value="268">Georgia</option>
<option value="280">Germany</option>
<option value="288">Ghana</option>
<option value="292">Gibraltar</option>
<option value="300">Greece</option>
<option value="304">Greenland</option>
<option value="308">Grenada</option>
<option value="312">Guadeloupe</option>
<option value="316">Guam</option>
<option value="320">Guatemala</option>
<option value="831">Guernsey</option>
<option value="324">Guinea</option>
<option value="624">Guinea-Bissau</option>
<option value="328">Guyana</option>
<option value="332">Haiti</option>
<option value="334">Heard Island & McDonald Islands</option>
<option value="336">Holy See (Vatican City State)</option>
<option value="340">Honduras</option>
<option value="344">Hong Kong</option>
<option value="348">Hungary</option>
<option value="352">Iceland</option>
<option value="356">India</option>
<option value="360">Indonesia</option>
<option value="365">Iran Airlines</option>
<option value="364">Iran, Islamic Republic of</option>
<option value="368">Iraq</option>
<option value="372">Ireland, Republic of</option>
<option value="833">Isle of Man</option>
<option value="376">Israel</option>
<option value="380">Italy</option>
<option value="388">Jamaica</option>
<option value="392">Japan</option>
<option value="832">Jersey</option>
<option value="400">Jordan</option>
<option value="398">Kazakhstan</option>
<option value="404">Kenya</option>
<option value="296">Kiribati</option>
<option value="414">Kuwait</option>
<option value="417">Kyrgyzstan</option>
<option value="418">Lao Peoples Democratic Republic</option>
<option value="428">Latvia</option>
<option value="422">Lebanon</option>
<option value="426">Lesotho</option>
<option value="430">Liberia</option>
<option value="434">Libyan Arab Jamahiriya</option>
<option value="438">Liechtenstein</option>
<option value="440">Lithuania</option>
<option value="442">Luxembourg</option>
<option value="446">Macao, China</option>
<option value="450">Madagascar</option>
<option value="454">Malawi</option>
<option value="458">Malaysia</option>
<option value="462">Maldives</option>
<option value="466">Mali</option>
<option value="470">Malta</option>
<option value="584">Marshall Islands</option>
<option value="474">Martinique</option>
<option value="478">Mauritania</option>
<option value="480">Mauritius</option>
<option value="175">Mayotte</option>
<option value="484">Mexico</option>
<option value="583">Micronesia, Federated States of</option>
<option value="498">Moldova, Republic of</option>
<option value="492">Monaco</option>
<option value="496">Mongolia</option>
<option value="499">Montenegro</option>
<option value="500">Montserrat</option>
<option value="504">Morocco</option>
<option value="508">Mozambique</option>
<option value="104">Myanmar</option>
<option value="516">Namibia</option>
<option value="520">Nauru</option>
<option value="524">Nepal</option>
<option value="528">Netherlands</option>
<option value="540">New Caledonia</option>
<option value="554">New Zealand</option>
<option value="558">Nicaragua</option>
<option value="562">Niger</option>
<option value="566">Nigeria</option>
<option value="570">Niue</option>
<option value="574">Norfolk Island</option>
<option value="408">North Korea</option>
<option value="580">Northern Mariana Islands</option>
<option value="578">Norway</option>
<option value="512">Oman</option>
<option value="586">Pakistan</option>
<option value="585">Palau</option>
<option value="275">Palestinian Territory, Occupied</option>
<option value="591">Panama</option>
<option value="598">Papua New Guinea</option>
<option value="600">Paraguay</option>
<option value="604">Peru</option>
<option value="608">Philippines</option>
<option value="612">Pitcairn</option>
<option value="616">Poland</option>
<option value="620">Portugal</option>
<option value="630">Puerto Rico</option>
<option value="634">Qatar</option>
<option value="807">Republic of Macedonia</option>
<option value="638">Reunion</option>
<option value="642">Romania</option>
<option value="643">Russian Federation</option>
<option value="646">Rwanda</option>
<option value="882">Samoa</option>
<option value="674">San Marino</option>
<option value="678">Sao Tome & Principe</option>
<option value="682">Saudi Arabia</option>
<option value="686">Senegal</option>
<option value="688">Serbia</option>
<option value="690">Seychelles</option>
<option value="694">Sierra Leone</option>
<option value="702">Singapore</option>
<option value="534">Sint Maarten (Dutch Part)</option>
<option value="703">Slovak Republic</option>
<option value="705">Slovenia</option>
<option value="239">South Georgia & the South Sandwich Islands</option>
<option value="090">Solomon Islands</option>
<option value="706">Somalia</option>
<option value="710">South Africa</option>
<option value="410">South Korea</option>
<option value="728">South Sudan, Republic of</option>
<option value="724">Spain</option>
<option value="144">Sri Lanka</option>
<option value="652">St. Barthelemy</option>
<option value="654">St. Helena, Ascension & Tristan da Cunha</option>
<option value="659">St. Kitts & Nevis</option>
<option value="662">St. Lucia</option>
<option value="663">St. Martin</option>
<option value="666">St. Pierre & Miquelon</option>
<option value="670">St. Vincent & the Grenadines</option>
<option value="729">Sudan</option>
<option value="740">Suriname</option>
<option value="744">Svalbard & Jan Mayen Islands</option>
<option value="748">Swaziland</option>
<option value="752">Sweden</option>
<option value="756">Switzerland</option>
<option value="760">Syrian Arab Republic</option>
<option value="158">Taiwan</option>
<option value="762">Tajikistan</option>
<option value="834">Tanzania, United Republic of</option>
<option value="876">Territory of the Wallis & Futuna Islands</option>
<option value="764">Thailand</option>
<option value="768">Togo</option>
<option value="772">Tokelau</option>
<option value="776">Tonga</option>
<option value="780">Trinidad & Tobago</option>
<option value="788">Tunisia</option>
<option value="792">Turkey</option>
<option value="795">Turkmenistan</option>
<option value="796">Turks & Caicos Islands</option>
<option value="798">Tuvalu</option>
<option value="581">U.S. Minor Outlying Islands</option>
<option value="850">U.S. Virgin Islands</option>
<option value="800">Uganda</option>
<option value="804">Ukraine</option>
<option value="784">United Arab Emirates</option>
<option value="826">United Kingdom (Great Britain)</option>
<option value="840">United States</option>
<option value="858">Uruguay</option>
<option value="860">Uzbekistan</option>
<option value="548">Vanuatu</option>
<option value="862">Venezuela, Bolivarian Republic of</option>
<option value="704">Vietnam</option>
<option value="732">Western Sahara</option>
<option value="886">Yemen</option>
<option value="894">Zambia</option>
<option value="716">Zimbabwe</option>
</select>
</div>
</div>
</fieldset>
</div>
</div>
</fieldset>
</div>
</section>
<section class="ddSection" id="ddPhone">
<div class="container">
<div class="ddSubSection noMargin">
<div class="ddSectionTitle hidden">
<h3></h3>
</div>
<div class="row">
<div class="col-xs-12">
<p><b>Please provide at least one phone number.</b></p>
</div>
</div>
<div class="row">
<div class="form-group col-xs-12 col-sm-6 col-md-4">
<label for="MOBILE_PHONE-citiTextBlur" id="MOBILE_PHONE-label" class="optional-field-hide">
<p>Mobile Phone Number <span class="fieldPrompt"><abbr title="Optional">(opt.)</abbr></span></p><button tabindex="0" class="btn btn-info helpicon" data-toggle="popover" data-close="button" data-placement="top"
data-template="<div class="popover" role="tooltip"><div class="arrow"></div><h3 class="popover-title"></h3><div class="popover-content"></div><button class="popover-close-button">close</button></div>"
data-content="By providing a mobile number, you agree that we can contact you at that number by text message, voice, pre-recorded or autodialed calls, about the decision of this application. Your phone plan charges may apply. Please read full <a href="#ddTerms">Terms.</a>"
data-original-title="Phone Number" data-container="body" data-html="true" role="button" aria-label="Phone Number Tooltip Button">?</button>
</label>
<input value="" type="tel" id="MOBILE_PHONE-citiTextBlur" name="MOBILE_PHONE-citiTextBlur" class="form-control" aria-labelledby="MOBILE_PHONE-label" maxlength="14"><input type="hidden" name="MOBILE_PHONE" id="MOBILE_PHONE" value=""
maxlength="14" class="form-control">
</div>
<div class="form-group col-xs-12 col-sm-6 col-md-4">
<div class="row noBorder expandablecontent">
<label for="HOME_PHONE-citiTextBlur" id="HOME_PHONE-label" class="optional-field-hide">
<p>Home Phone Number <span class="fieldPrompt"><abbr title="Optional">(opt.)</abbr></span></p><button tabindex="0" class="btn btn-info helpicon" data-toggle="popover" data-close="button" data-placement="top"
data-template="<div class="popover" role="tooltip"><div class="arrow"></div><h3 class="popover-title"></h3><div class="popover-content"></div><button class="popover-close-button">close</button></div>"
data-content="By providing a mobile number or a number later converted to a mobile number, you agree that we or our service providers can contact you at that number by text message, artificial voice, pre-recorded or autodialed calls. Your phone plan charges may apply."
data-original-title="Phone Number" data-container="body" data-html="true" role="button" aria-label="Phone Number Tooltip Button">?</button>
</label> <input value="" type="tel" id="HOME_PHONE-citiTextBlur" name="HOME_PHONE-citiTextBlur" class="form-control" aria-labelledby="HOME_PHONE-label" maxlength="14"><input type="hidden" name="HOME_PHONE" id="HOME_PHONE" value=""
maxlength="14" class="form-control">
</div>
</div>
</div>
<div class="row">
<div class="form-group col-xs-12 col-md-12 col-sm-12">
<fieldset>
<div class="checkbox">
<input id="ADD_HOME_PHONE" value="ADD_HOME_PHONE" type="checkbox" class="hasExpandableContent" aria-labelledby="ADD_HOME_PHONE-label">
<label for="ADD_HOME_PHONE" id="ADD_HOME_PHONE-label">
<p>I want to provide a Home Phone Number <span class="fieldPrompt"><abbr title="Optional">(opt.)</abbr></span></p>
</label>
</div>
</fieldset>
</div>
</div>
</div>
</div>
</section>
<section class="ddSection" id="ddEmail">
<div class="container">
<div class="ddSubSection noMargin">
<div class="ddSectionTitle hidden">
<h3>Email Address</h3>
</div>
<div class="row">
<div class="form-group col-xs-12 col-sm-6 col-md-4">
<label for="EMAIL_ADDRESS" id="EMAIL_ADDRESS-label">
<p>Email Address </p><button tabindex="0" class="btn btn-info helpicon" data-toggle="popover" data-close="button" data-placement="top"
data-template="<div class="popover" role="tooltip"><div class="arrow"></div><h3 class="popover-title"></h3><div class="popover-content"></div><button class="popover-close-button">close</button></div>"
data-content="<p>By providing your email address, we may use it to contact you about your account and tell you about useful products and services and provide it to Costco in connection with your Costco membership.</p>"
data-original-title="Email Address" data-container="body" data-html="true" role="button" aria-label="Email Address Tooltip Button">?</button>
</label>
<input value="" type="email" id="EMAIL_ADDRESS" name="EMAIL_ADDRESS" class="form-control ui-autocomplete-input" aria-labelledby="EMAIL_ADDRESS-label" minlength="6" maxlength="50" autocomplete="off">
</div>
</div>
</div>
</div>
</section>
<section class="ddSection" id="ddSecurityWord">
<div class="container">
<div class="ddSubSection noMargin">
<div class="ddSectionTitle">
<h2>Security Word</h2>
</div>
<div class="row">
<div class="form-group col-xs-12 col-sm-8 col-md-6">
<label for="SECPASSTYPE_CODE" id="SECPASSTYPE_CODE-label">
<p>Security Word Hint </p><button tabindex="0" class="btn btn-info helpicon" data-toggle="popover" data-close="button" data-placement="top"
data-content="Select a question and answer to use when calling about your Citi account. This ensures that we are speaking directly to you, and not someone else."
data-template="<div class="popover" role="tooltip"><div class="arrow"></div><h3 class="popover-title"></h3><div class="popover-content"></div><button class="popover-close-button">close</button></div>"
data-original-title="Security Word Hint" data-container="body" data-html="true" role="button" aria-label="Security Word Hint Tooltip Button">?</button>
</label> <select id="SECPASSTYPE_CODE" name="SECPASSTYPE_CODE" class="form-control" aria-labelledby="SECPASSTYPE_CODE-label">
<option value="" disabled="" selected=""> </option>
<option value="P">Favorite Pet's Name</option>
<option value="S">Favorite Snack</option>
<option value="H">Favorite Hobby</option>
<option value="T">Favorite Teacher</option>
<option value="B">Best friend's last name</option>
<option value="F">First Concert Attended</option>
<option value="V">Ideal Place to Vacation</option>
<option value="Y">Your childhood nickname</option>
</select>
</div>
<div class="form-group col-xs-12 col-sm-8 col-md-4">
<label for="MOTHERS_MAIDEN_NAME-citiTextBlur" id="MOTHERS_MAIDEN_NAME-label">
<p>Security Word </p><button tabindex="0" class="btn btn-info helpicon" data-toggle="popover" data-close="button" data-placement="top"
data-content="Your Security Word should contain up to 10 letters and/or numbers. You'll be asked to provide it whenever you call us, register for online services or transfer balances. Special characters (" = & > ! @, etc.) and vulgar language are not allowed. Be sure to keep your Security Word private."
data-template="<div class="popover" role="tooltip"><div class="arrow"></div><h3 class="popover-title"></h3><div class="popover-content"></div><button class="popover-close-button">close</button></div>"
data-original-title="Security Word" data-container="body" data-html="true" role="button" aria-label="Security Word Tooltip Button">?</button>
</label> <input value="" type="text" id="MOTHERS_MAIDEN_NAME-citiTextBlur" name="MOTHERS_MAIDEN_NAME-citiTextBlur" class="form-control" aria-labelledby="MOTHERS_MAIDEN_NAME-label" maxlength="10" minlength="1"><input type="hidden"
name="MOTHERS_MAIDEN_NAME" id="MOTHERS_MAIDEN_NAME" value="" minlength="1" maxlength="10" class="form-control">
</div>
</div>
</div>
</div>
</section>
<section class="ddSection" id="ddFinancial">
<div class="container">
<div class="ddSubSection">
<div class="ddSectionTitle">
<h2>Financial Information</h2>
</div>
<div class="row">
<div class="form-group col-xs-12 col-md-12 col-sm-12">
<fieldset>
<div class="checkbox">
<input id="ADD_NON_TAXABLE_INCOME" name="ADD_NON_TAXABLE_INCOME" value="ADD_NON_TAXABLE_INCOME" class="hasExpandableContent" type="checkbox" aria-labelledby="ADD_NON_TAXABLE_INCOME-label">
<label for="ADD_NON_TAXABLE_INCOME" id="ADD_NON_TAXABLE_INCOME-label">
<p>Part of my total annual income is exempt from U.S. federal income tax <span class="fieldPrompt"><abbr title="Optional">(opt.)</abbr></span></p>
</label>
</div>
</fieldset>
<p>If you are not sure if any of your income is not taxable, please refer to your tax documents or consult with your tax professional.</p>
</div>
</div>
<div class="row">
<div class="form-group col-xs-12 col-sm-6 col-md-4">
<label for="ANNUAL_INCOME" id="ANNUAL_INCOME-label">
<p>Total Annual Income </p><button tabindex="0" class="btn btn-info helpicon" data-toggle="popover" data-close="button" data-placement="top"
data-content="Examples: Salary, wages, interest, dividends, rental income, retirement benefits. If you are 21 or older, you may include income from others that you can reasonably access to pay your bills.<br/><br/>You do not have to include alimony, child support, or separate maintenance income if you do not want it considered as a basis for repaying this obligation."
data-template="<div class="popover" role="tooltip"><div class="arrow"></div><h3 class="popover-title"></h3><div class="popover-content"></div><button class="popover-close-button">close</button></div>"
data-original-title="Total Annual Income" data-container="body" data-html="true" role="button" aria-label="Total Annual Income Tooltip Button">?</button>
</label>
<div class="input-group">
<span class="input-group-addon">$</span> <input value="" type="tel" id="ANNUAL_INCOME" name="ANNUAL_INCOME" class="form-control" aria-labelledby="ANNUAL_INCOME-label" maxlength="14">
</div>
</div>
<div class="form-group col-xs-12 col-sm-6 col-md-4">
<div class="row expandablecontent noBorder">
<label for="NON_TAX_INCOME" id="NON_TAX_INCOME-label">
<p>Non-Taxable Annual Income </p>
<button tabindex="0" class="btn btn-info helpicon" data-toggle="popover" data-close="button" data-placement="top"
data-content="Include here any portion of your Total Annual Income that is exempt from U.S. federal income tax. If you are not sure if any of your income is not taxable, please refer to your tax documents or consult with your tax professional."
data-template="<div class="popover" role="tooltip"><div class="arrow"></div><h3 class="popover-title"></h3><div class="popover-content"></div><button class="popover-close-button">close</button></div>"
data-original-title="Non-Taxable Annual Income" data-container="body" data-html="true" role="button" aria-label="Non-Taxable Annual Income Tooltip Button">?</button>
</label>
<div class="input-group">
<span class="input-group-addon">$</span> <input type="tel" value="" id="NON_TAX_INCOME" name="NON_TAX_INCOME" class="form-control" aria-labelledby="NON_TAX_INCOME-label" maxlength="14">
</div>
</div>
</div>
</div>
<div class="row">
<div class="form-group col-xs-12 col-sm-6 col-md-4">
<label for="MRTG_RENT_AMT" id="MRTG_RENT_AMT-label">
<p>Monthly Mortgage/Rent Payment </p><button tabindex="0" class="btn btn-info helpicon" data-toggle="popover" data-close="button" data-placement="top"
data-content="This is your combined monthly payment(s) for where you currently reside."
data-template="<div class="popover" role="tooltip"><div class="arrow"></div><h3 class="popover-title"></h3><div class="popover-content"></div><button class="popover-close-button">close</button></div>"
data-original-title="Monthly Mortgage/Rent Payment" data-container="body" data-html="true" role="button" aria-label="Monthly Mortgage/Rent Payment Tooltip Button">?</button>
</label>
<div class="input-group">
<span class="input-group-addon">$</span> <input value="" type="tel" id="MRTG_RENT_AMT" name="MRTG_RENT_AMT" class="form-control" aria-labelledby="MRTG_RENT_AMT-label" maxlength="9">
</div>
</div>
</div>
<div class="ddFinancialAccounts" style="display: none">
<fieldset>
<legend> I have the following accounts <span class="fieldPrompt">
</span>: </legend>
<div class="row">
<div class="form-group col-xs-12 col-md-12 col-sm-12">
<div class="checkbox col-xs-12 col-md-12 col-sm-12">
<input id="CHECKING_ACCOUNT" name="CHECKING_ACCOUNT" value="CHECKING_ACCOUNT" type="checkbox" aria-labelledby="CHECKING_ACCOUNT-label">
<label for="CHECKING_ACCOUNT" id="CHECKING_ACCOUNT-label">
<p>Checking </p>
</label>
</div>
<div class="checkbox col-xs-12 col-md-12 col-sm-12">
<input id="SAVING_ACCOUNT" name="SAVING_ACCOUNT" value="SAVING_ACCOUNT" type="checkbox" aria-labelledby="SAVING_ACCOUNT-label">
<label for="SAVING_ACCOUNT" id="SAVING_ACCOUNT-label">
<p>Savings </p>
</label>
</div>
<div class="checkbox col-xs-12 col-md-12 col-sm-12">
<input id="MONEY_MARKET" name="MONEY_MARKET" value="MONEY_MARKET" type="checkbox" aria-labelledby="MONEY_MARKET-label">
<label for="MONEY_MARKET" id="MONEY_MARKET-label">
<p>Money Market </p>
</label>
</div>
</div>
</div>
</fieldset>
</div>
</div>
</div>
</section>
<section class="ddSection" id="ddAuthorizedUser">
<div class="container">
<div class="ddSubSection">
<div class="ddSectionTitle">
<h2>Authorized User</h2>
</div>
<div class="row">
<div class="col-xs-12">
<p>To add an Authorized User to your account, you'll need to know his or her:</p>
<ul class="col-xs-12 col-sm-12 col-md-12 bump-discs">
<li>Full Name</li>
<li>Date of Birth</li>
<li>Social Security Number</li>
<li>Costco Membership Number</li>
</ul>
<div class="col-xs-12 col-sm-12 col-md-12">
<p><b>If you don't know this information or have it with you, you can add an Authorized User to your account later by phone or online.</b></p>
<p>Each Authorized User must have a current Costco membership in his/her name to receive an Authorized User card. We may cancel an Authorized User's card and participation in this program if he/she does not maintain their Costco
Membership.</p>
<p>You must pay us for all charges made or allowed by <a href="#" data-toggle="modal" data-target="#addEmployeeModal">Authorized Users</a>. Authorized Users are able to get account information. You also need the Authorized User's
permission to give us any information about him or her that we request and to allow us to share information about him or her.</p>
</div>
</div>
<p></p>
</div>
<div class="row">
<div class="form-group col-xs-12 col-md-12 col-sm-12">
<fieldset>
<div class="checkbox">
<input id="authUser" name="authUser" value="authUser" class="hasExpandableContent" type="checkbox" aria-labelledby="authUser-label">
<label for="authUser" id="authUser-label">
<p>I want to add an Authorized User to this account now. <span class="fieldPrompt"><abbr title="Optional">(opt.)</abbr></span></p><button tabindex="0" class="btn btn-info helpicon" data-toggle="popover" data-close="button"
data-placement="top"
data-content="You must pay us for all charges made or allowed by the authorized user. Authorized users are able to get account information and copies of statements. Before adding him or her to your account, you must let the authorized user know that we may report account performance to the credit reporting agencies in the authorized user's name. You also need the authorized user's permission to give us any information about him/her that we request and to allow us to share information about him or her."
data-template="<div class="popover" role="tooltip"><div class="arrow"></div><h3 class="popover-title"></h3><div class="popover-content"></div><button class="popover-close-button">close</button></div>"
data-original-title="Authorized User" data-container="body" data-html="true" role="button" aria-label="Authorized User Tooltip Button">?</button>
</label>
</div>
</fieldset>
</div>
</div>
<div class="expandablecontent authUserInfo">
<div class="row">
<p class="disclaimer"> You must pay us for all charges made or allowed by the authorized user. Authorized users are able to get account information and copies of statements. Before adding him or her to your account, you must let the
authorized user know that we may report account performance to the credit reporting agencies in the authorized user's name. You also need the authorized user's permission to give us any information about him/her that we request and to
allow us to share information about him or her. </p>
</div>
<div class="row">
<div class="form-group col-xs-12 col-sm-6 col-md-4">
<label for="AFFINITY_NUMBER_SECONDARY-citiTextBlur" id="AFFINITY_NUMBER_SECONDARY-label">
<p>Membership Number </p>
<button tabindex="0" class="btn btn-info helpicon" data-toggle="popover" data-close="button" data-placement="top" data-content="Enter the Authorized User's membership number." data-container="body" data-html="true"
data-template="<div class="popover" role="tooltip"><div class="arrow"></div><h3 class="popover-title"></h3><div class="popover-content"></div><button class="popover-close-button">close</button></div>"
data-original-title="Membership Number" role="button" aria-label="Membership Number Tooltip Button">?</button>
</label>
<input value="" type="tel" id="AFFINITY_NUMBER_SECONDARY-citiTextBlur" name="AFFINITY_NUMBER_SECONDARY-citiTextBlur" class="form-control" autocomplete="off" aria-labelledby="AFFINITY_NUMBER_SECONDARY-label" maxlength="12"
minlength="12"><input type="hidden" name="AFFINITY_NUMBER_SECONDARY" id="AFFINITY_NUMBER_SECONDARY" value="" maxlength="12" minlength="12" class="form-control">
</div>
</div>
<div class="row">
<div class="form-group col-xs-12 col-sm-6 col-md-4">
<label for="AUTH_FIRST_NAME_1" id="AUTH_FIRST_NAME_1-label">
<p>First Name </p>
</label> <input value="" type="text" id="AUTH_FIRST_NAME_1" name="AUTH_FIRST_NAME_1" class="form-control" aria-required="true" aria-labelledby="AUTH_FIRST_NAME_1-label" minlength="1" maxlength="11">
</div>
<div class="form-group col-xs-12 col-sm-4 col-md-2">
<label for="AUTH_MIDDLE_INITIAL_1" id="AUTH_MIDDLE_INITIAL_1-label">
<p>Middle Initial <span class="fieldPrompt"><abbr title="Optional">(opt.)</abbr></span></p>
</label> <input value="" type="text" id="AUTH_MIDDLE_INITIAL_1" name="AUTH_MIDDLE_INITIAL_1" class="form-control" aria-labelledby="AUTH_MIDDLE_INITIAL_1-label" maxlength="1">
</div>
<div class="clear visible-sm"></div>
<div class="form-group col-xs-12 col-sm-8 col-md-4">
<label for="AUTH_LAST_NAME_1" id="AUTH_LAST_NAME_1-label">
<p>Last Name </p>
</label> <input value="" type="text" id="AUTH_LAST_NAME_1" name="AUTH_LAST_NAME_1" class="form-control" aria-required="true" aria-labelledby="AUTH_LAST_NAME_1-label" minlength="2" maxlength="22">
</div>
<div class="form-group col-xs-12 col-sm-4 col-md-2">
<label for="AUTH_SUFFIX_1" id="AUTH_SUFFIX_1-label">
<p>Suffix <span class="fieldPrompt"><abbr title="Optional">(opt.)</abbr></span></p>
</label> <select id="AUTH_SUFFIX_1" name="AUTH_SUFFIX_1" class="form-control" aria-labelledby="AUTH_SUFFIX_1-label">
<option value="" selected=""> </option>
<option value="SR">Sr</option>
<option value="JR">Jr</option>
<option value="II">II</option>
<option value="III">III</option>
<option value="IV">IV</option>
</select>
</div>
</div>
<div class="row">
<div class="form-group col-xs-12 col-sm-6 col-md-4">
<label for="SECONDARYSSN-citiTextBlur" id="SECONDARYSSN-label">
<p>Last 4 of Social Security Number </p>
</label> <input value="" type="tel" id="SECONDARYSSN-citiTextBlur" name="SECONDARYSSN-citiTextBlur" class="form-control" autocomplete="off" aria-labelledby="SECONDARYSSN-label" maxlength="4" minlength="4"><input type="hidden"
name="SECONDARYSSN" id="SECONDARYSSN" value="" minlength="4" maxlength="4" class="form-control">
</div>
</div>
<fieldset>
<div class="row authDOB">
<div class="col-xs-12">
<legend id="authdobLabel">
</legend>
</div>
</div>
<div class="row">
<div class="form-group col-xs-12 col-sm-4 col-md-4">
<label for="AUTH_DOB-citiTextBlur" id="AUTH_DOB-label">
<p>Date of Birth (MM-DD-YYYY) </p>
</label>
<input type="tel" id="AUTH_DOB-citiTextBlur" name="AUTH_DOB-citiTextBlur" class="form-control" aria-labelledby="AUTH_DOB-label"><input type="hidden" name="AUTH_DOB" id="AUTH_DOB" value="" class="form-control">
</div>
</div>
</fieldset>
<div class="row">
<fieldset>
<div class="checkbox col-xs-12 col-md-12 col-sm-12 form-group">
<input id="authUserAddress" name="authUserAddress" value="authUserAddress" class="hasSmallExpandableContent" type="checkbox" aria-labelledby="authUserAddress-label">
<label for="authUserAddress" id="authUserAddress-label">
<p>Address is the same as primary cardmember. <span class="fieldPrompt"><abbr title="Optional">(opt.)</abbr></span></p>
</label><br>
</div>
</fieldset>
</div>
<!-- Change started for EditAdddress Change -->
<div class="row">
<div class="form-group col-xs-12 col-sm-6 col-md-4">
<label for="EDIT_ADDRESSLINE_AUTH" id="EDIT_ADDRESSLINE_AUTH-label">
<p>Home Address </p>
<button tabindex="0" class="btn btn-info helpicon" data-toggle="popover" data-close="button" data-placement="top"
data-template="<div class="popover" role="tooltip"><div class="arrow"></div><h3 class="popover-title"></h3><div class="popover-content"></div><button class="popover-close-button">close</button></div>"
data-original-title="Home Address" data-content="You must provide your home address. No P.O. boxes, please." data-container="body" data-html="true" role="button" aria-label="Home Address Tooltip Button">?</button>
</label> <textarea rows="3" cols="50" type="text" id="EDIT_ADDRESSLINE_AUTH" name="EDIT_ADDRESSLINE_AUTH" value="" class="form-control"></textarea>
</div>
</div>
<!-- Change ended for EditAdddress Change -->
<div class="row authAddress" style="display: none;">
<div class="row">
<div class="form-group col-xs-12 col-sm-6 col-md-4">
<label for="AUTHC_ADDRESS1" id="AUTHC_ADDRESS1-label">
<p>Home Address </p>
<button tabindex="0" id="authAddresstooltip" class="btn btn-info helpicon" data-toggle="popover" data-close="button" data-placement="top" data-content="You must provide the authorized user's street address. No P.O. boxes, please."
data-container="body" data-html="true"
data-template="<div class="popover" role="tooltip"><div class="arrow"></div><h3 class="popover-title"></h3><div class="popover-content"></div><button class="popover-close-button">close</button></div>"
data-original-title="Home Address" role="button" aria-label="Home Address Tooltip Button">?</button>
</label> <input value="" type="text" id="AUTHC_ADDRESS1" name="AUTHC_ADDRESS1" class="form-control" aria-labelledby="AUTHC_ADDRESS1-label" maxlength="24" minlength="5">
</div>
<div class="form-group col-xs-12 col-sm-4 col-md-2">
<label for="AUTHC_ADDRESS2" id="AUTHC_ADDRESS2-label">
<p>Apt./Ste. <span class="fieldPrompt"><abbr title="Optional">(opt.)</abbr></span></p>
</label> <input value="" type="text" id="AUTHC_ADDRESS2" name="AUTHC_ADDRESS2" class="form-control" aria-labelledby="AUTHC_ADDRESS2-label" maxlength="30">
</div>
<div class="form-group col-xs-12 col-sm-4 col-md-2">
<label for="AUTHC_ZIP" id="AUTHC_ZIP-label">
<p>ZIP Code </p>
</label> <input value="" type="tel" id="AUTHC_ZIP" name="AUTHC_ZIP" class="form-control" aria-labelledby="AUTHC_ZIP-label" maxlength="5" minlength="5">
</div>
</div>
<div class="row">
<div class="form-group col-xs-12 col-sm-4 col-md-2">
<label for="AUTHC_CITY" id="AUTHC_CITY-label">
<p>City </p>
</label> <input value="" type="text" id="AUTHC_CITY" name="AUTHC_CITY" class="form-control ddAutofill" aria-labelledby="AUTHC_CITY-label" maxlength="22" minlength="3">
</div>
<div class="form-group col-xs-12 col-sm-4 col-md-2">
<label for="AUTHC_STATE" id="AUTHC_STATE-label">
<p>State </p>
</label> <select id="AUTHC_STATE" name="AUTHC_STATE" class="form-control ddAutofill" aria-labelledby="AUTHC_STATE-label">
<option value="STATE" disabled="" selected=""> </option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AS">American Samoa</option>
<option value="AA">Armed Forces-AA</option>
<option value="AE">Armed Forces-AE</option>
<option value="AP">Armed Forces-AP</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="MP">Northern Mariana Islands</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="VI">US Virgin Islands</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
<section class="ddSection" id="ddTerms">
<div class="container">
<div class="ddSubSection">
<div class="row">
<div class="ddSectionTitle col-xs-6">
<h2><sup>1</sup>Terms & Conditions</h2>
</div>
<div class="ddPrinterLink col-xs-6 text-right">
<a class="ddPrintVers btn btn-default" href="https://www.citicards.com/cards/credit/displayterms/flow.action?HKOP=517b68189cd7ed09e7ef55e5d69ae471cde6df6640917685198d6c2c4db5f4d0&app=UNSOL&embedTNC=Y&JFP_TOKEN=KVR1QCB6" target="_blank">Printer
Friendly Version</a>
</div>
</div>
</div>
<div class="row">
<div id="termsContainer" class="closed">
<div id="ddFinePrintTC" class="col-xs-12 " data-loaded="true" style="overflow-wrap: break-word;">
<div id="framedTerms">
<table id="schumerBox" width="100%" border="0" cellspacing="0" cellpadding="3" role="presentation">
<tbody>
<tr>
<td>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1">
<meta name="GENERATOR" content="IBM Software Development Platform">
<meta http-equiv="Content-Style-Type" content="text/css">
<title>UDAP T&C</title><br>
<div id="embedTNCSTART"></div>
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center" style="margin-left: auto; margin-rigpooledHt: auto;" role="presentation">
<tbody>
<tr>
<td align="left">
<table class="TableBorder" width="100%" border="0" cellpadding="0" cellspacing="0" align="center" style="margin-left: auto; margin-rigpooledHt: auto;" role="presentation">
<tbody>
<tr>
<td align="center" class="HeadingStyle">
<h3 style="font-size:14px;font-weight:700;margin-bottom:0px"> CITI DISCLOSURES </h3>
</td>
</tr>
</tbody>
</table>
<table class="TableBorder" width="100%" border="0" cellpadding="0" cellspacing="0" align="center" style="margin-left: auto; margin-rigpooledHt: auto;" role="presentation">
<tbody>
<tr>
<td align="center" class="HeadingStyleSolid">
<h4 style="color: inherit;font-size:14px;font-weight:bold"> Interest Rates and Interest Charges </h4>
</td>
</tr>
</tbody>
</table>
<table class="TableBorder" width="100%" cellpadding="0" cellspacing="0" align="center" style="margin-left: auto; margin-rigpooledHt: auto;" role="presentation">
<tbody>
<tr>
<td class="TDStyle">
<h5><b>Annual Percentage Rate (APR) for Purchases</b></h5>
</td>
<td class="TDStyleBTPara">
<p class="BTindent"><b><span class="PurAPR">15.99%</span></b><br><br> This APR will vary with the market based on the Prime Rate.<sup><span class="smalltext">a</span></sup></p>
</td>
</tr>
<tr>
<td class="TDStyle">
<h5><b>APR for Balance Transfers</b></h5>
</td>
<td class="TDStyleBTPara">
<p class="BTindent"><b>15.99%.</b> Balance transfers must be completed within 2 months from date of account opening. <br><br> This APR will vary with the market based on the Prime
Rate.<sup><span class="smalltext">a</span></sup></p>
</td>
</tr>
<tr>
<td class="TDStyle">
<h5><b>APR for Cash Advances</b></h5>
</td>
<td class="TDStyleBTPara">
<p class="BTindent"><b>25.99%</b><br><br>This APR will vary with the market based on the Prime Rate.<sup><span class="smalltext">b</span></sup></p>
</td>
</tr>
<tr>
<td class="TDStyle">
<h5><b>APR for Citi Flex Plan</b></h5>
</td>
<td class="TDStyleBTPara">
<p class="BTindent"><b>15.99%</b><br><br> This APR will vary with the market based on the Prime Rate.<sup><span class="smalltext">a</span></sup></p>
</td>
</tr>
<tr>
<td class="TDStyle">
<h5><b>Penalty APR and When it Applies</b></h5>
</td>
<td class="TDStyleBTPara">
<p class="PenaltyAPRindent">Up to <b>29.99%</b>, based on your creditworthiness. This APR will vary with the market based on the Prime Rate.<sup><span class="smalltext">c</span></sup></p>
<p class="PenaltyAPRindent2">This APR may be applied to your account if you:<br> (1) Make a late payment or <br>(2) Make a payment that is returned.<br></p><br>
<p class="PenaltyAPRindent1"><b>How Long Will the Penalty APR Apply?</b> If your APRs are increased for either of these reasons, the Penalty APR may apply indefinitely.<br></p>
</td>
</tr>
<tr>
<td class="TDStyle">
<h5><b>How to Avoid Paying Interest on Purchases</b></h5>
</td>
<td class="TDStyleBTPara">
<p class="PenaltyAPRindent">Your due date is at least 23 days after the close of each billing cycle. We will not charge you interest on purchases if you pay your monthly Citi Flex Plan Payment Amount plus your
entire balance, excluding any Citi Flex Plan balances, by the due date each month. If you do not pay your monthly Citi Flex Plan Payment plus your entire balance, excluding any Citi Flex Plan balances, by the
due date each month, you will pay interest on your purchases from the date they're posted to your account. We will begin charging interest on cash advances and balance transfers on the transaction date. We
will begin charging interest on a Citi Flex Plan balance at the start of the billing cycle following the billing cycle during which you created the Citi Flex Plan. </p>
</td>
</tr>
<tr>
<td class="TDStyle">
<h5><b>Minimum Interest Charge</b></h5>
</td>
<td class="TDStyleBTPara">
<p class="PenaltyAPRindent">If you are charged interest, the charge will be no less than 50 cents.</p>
</td>
</tr>
<tr>
<td class="TDStyle">
<h5><b>For Credit Card Tips from the Consumer Financial Protection Bureau</b></h5>
</td>
<td class="TDStyleBTPara">
<p class="PenaltyAPRindent3">To learn more about factors to consider when applying for or using a credit card, visit the website of the Consumer Financial Protection Bureau at <button type="button"
class="btn-link speedbump nwLink" data-toggle="modal" data-target="#speedbumpModal" data-url="http://www.consumerfinance.gov/learnmore.">
http:/<wbr>/<wbr>www.<wbr>consumer<wbr>finance.<wbr>gov/<wbr>learnmore.<wbr></button></p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table><br><br>
<table width="100%" border="0" cellpadding="0" cellspacing="0" align="center" style="margin-left: auto; margin-rigpooledHt: auto;" role="presentation">
<tbody>
<tr>
<td align="left">
<table class="TableBorder" width="100%" border="0" cellpadding="0" cellspacing="0" align="center" style="margin-left: auto; margin-rigpooledHt: auto;" role="presentation">
<tbody>
<tr>
<td align="center" class="HeadingStyle"></td>
</tr>
</tbody>
</table>
<table class="TableBorder" width="100%" border="0" cellpadding="0" cellspacing="0" align="center" style="margin-left: auto; margin-rigpooledHt: auto;" role="presentation">
<tbody>
<tr>
<td align="center" class="HeadingStyleSolid">
<h4 style="color: inherit;font-size:14px;font-weight:bold"> Fees </h4>
</td>
</tr>
</tbody>
</table>
<table class="TableBorder" width="100%" cellpadding="0" border="0" cellspacing="0" align="center" style="margin-left: auto; margin-rigpooledHt: auto;" role="presentation">
<tbody>
<tr>
<td class="TDStyle" colspan="2">
<h5><b>Annual Fee</b></h5>
</td>
<td class="TDStyle">
<p class="PenaltyAPRindent" style="padding-left: 10px;"><b>No annual fee for this credit card with your paid Costco Membership.</b></p>
</td>
</tr>
<tr>
<td class="" valign="top" colspan="2" style="padding-top:10px;padding-left:10px;border: none !important;
border-right: solid 1px #000000 !important; ">
<h5><b>Transaction Fees</b></h5>
<ul>
<li style="padding-bottom:0px"> Balance Transfer </li>
</ul>
</td>
<td class="">
<ul class="noBullet">
<li style="padding-bottom:0px">
<p class="PenaltyAPRindent" style="padding-left: 10px;margin-top:25px">Either <b>$5</b> or <b>5%</b> of the amount of each transfer, whichever is greater. </p>
</li>
</ul>
</td>
</tr>
<tr>
<td class="" valign="top" colspan="2" style="padding-left:10px;border: none !important;
border-right: solid 1px #000000 !important; ">
<ul>
<li style="padding-bottom:0px"> Cash Advance </li>
</ul>
</td>
<td class="">
<ul class="noBullet">
<li style="padding-bottom:0px">
<p class="PenaltyAPRindent" style="padding-left: 10px;margin-top:0px">Either <b>$10</b> or <b>5%</b> of the amount of each cash advance, whichever is greater.</p>
</li>
</ul>
</td>
</tr>
<tr>
<td class="" valign="top" colspan="2" style="padding-left:10px;border: none !important;
border-right: solid 1px #000000 !important; ">
<ul>
<li style="padding-bottom:0px"> Foreign Purchase Transaction</li>
</ul>
</td>
<td class="">
<ul class="noBullet"><!-- <li><p class="PenaltyAPRindent" style="padding-left: 10px;">Either <b>$5</b> or <b>5%</b> of the amount of each transfer, whichever is greater.
<li><p class="PenaltyAPRindent" style="padding-left: 10px;">Either <b>$10</b> or <b>5%</b> of the amount of each cash advance, whichever is greater.</p></li>
-->
<li style="padding-bottom:0px">
<p class="PenaltyAPRindent" style="padding-left: 10px;margin-top:0px"><b>None</b></p>
</li>
</ul>
</td>
</tr>
<tr>
<td class="" valign="top" colspan="2" style="border-top-style:solid;padding-top:10px;padding-left:10px;border: none !important;
border-right: solid 1px #000000 !important;">
<h5><b>Penalty Fees</b></h5>
<ul>
<li style="padding-bottom:0px"> Late Payment </li>
</ul>
</td>
<td class="">
<ul class="noBullet">
<li style="padding-bottom:0px">
<p class="PenaltyAPRindent" style="padding-left: 10px;">Up to <b>$40</b></p>
</li>
</ul>
</td>
</tr>
<tr>
<td class="" valign="top" colspan="2" style="border-top-style:solid;padding-left:10px;border: none !important;
border-right: solid 1px #000000 !important;">
<ul>
<li style="padding-bottom:0px"> Returned Payment</li>
</ul>
</td>
<td class="">
<ul class="noBullet"><!--
<li><p class="PenaltyAPRindent" style="padding-left: 10px;">Up to <b>$40</b></p></li>
-->
<li style="padding-bottom:0px">
<p class="PenaltyAPRindent" style="padding-left: 10px;margin-top:0px">Up to <b>$40</b></p>
</li>
</ul>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table><br><br>
<table width="100%" align="center" role="presentation">
<tbody>
<tr>
<td class="TDStyleNonBox"><b>How We Will Calculate Your Balance:</b> We use a method called "daily balance (including new transactions)."<br><br> For more information call Citibank at 1-877-625-6382 (For TTY: Use 711 or
other Relay Service). New York residents may contact the New York State Department of Financial Services at (800) 342-3736 or www.dfs.ny.gov for comparative information on credit card rates, fees and grace
periods.<br><br><b>Payment Allocation:</b> We may apply the portion of your payments up to your Minimum Payment Due to lower APR balances first. Generally, payments above your Minimum Payment Due will be applied to
your highest APR balance first.<br><br><!--#P0057661_AT&T Product Value Prop Refresh changes start --><!--C-1076327-UPDATE TO THE ONLINE SCHUMER 2015 AUG mTPR changes starts--><b>Prime Rate:</b> The variable rates
shown here are accurate based on a 4% Prime Rate.
<!--C-1076327-UPDATE TO THE ONLINE SCHUMER 2015 AUG mTPR changes ends--><!--P0057661_AT&T Product Value Prop Refresh changes start --><!--C-1084613 Update Online Schumer Boxes mTPR JAN 2016 STARTS-->
<table role="presentation">
<tbody>
<tr>
<td class="FootNote"><sup><span class="smalltext">a</span></sup> We add 11.99% to the Prime Rate to determine the Purchase/Balance Transfer/Citi Flex Plan APR. </td>
</tr>
<tr>
<td class="FootNote"></td>
</tr>
<tr>
<td class="FootNote"><sup><span class="smalltext">b</span></sup> We add 21.99% to the Prime Rate to determine the Cash Advances APR. </td>
</tr>
<tr>
<td class="FootNote"><sup><span class="smalltext">c</span></sup> We add up to 26.74% to the Prime Rate to determine the Penalty APR. </td>
</tr>
<tr>
<td> Variable rate APRs will not exceed 29.99%. </td>
</tr>
<tr>
<td><br><b>Note:</b> Balance Transfers and Flex Plans are made available at our discretion. </td>
</tr>
</tbody>
</table><!--C-1084613 Update Online Schumer Boxes mTPR JAN 2016 ENDS-->
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<div id="collapsibleTerms" class="termsAndConditions closed">
<h1 class="termsHeader" style="margin-bottom:0px"> Costco Anywhere Visa<sup><span class="smalltext">®</span></sup> Card by Citi Terms & Conditions </h1>
<div class="">
<div class="col-xs-12 termsSubHeader termsSubHeader1">
<p class="termsSubHeaderText">This offer is valid for new accounts only. You must be at least 18 years of age. If you're married, you may apply for a separate account. The Card offer referenced in this communication is only
available to individuals who reside in the United States and its territories. Your eligibility for a particular product and service is subject to a final determination by Citibank. This communication is not and should not be
construed as, an offer to individuals outside of the United States. Citibank, N.A., Sioux Falls, SD, ("Citi," "we" or "us") is the issuer of your account. Please allow 4 weeks from date of submission to process your Card
Account application. </p>
<hr>
</div>
<div class="col-xs-12 termsSubHeader termsSubHeader2">
<p class="termsSubHeaderText"> By submitting this application, you request that Citi establish a Costco Anywhere Visa<sup><span class="smalltext">®</span></sup> Card by Citi account (the "Card Account") to you and any authorized
users you have designated. You agree that all information provided in this application must be verifiable and accurate. The Card Account is governed by the terms of the card agreement ("Card Agreement") provided when the Card
Account is issued. </p>
<hr>
</div>
<div class="col-xs-12 termsColumn">
<div class="termsSection termsCostco termsMembershipSection">
<h2>Costco Membership</h2>
<p> The Card Account is only available if you have a current Costco membership in your name. We may cancel your Card Account and participation in the Costco Cash Rewards Program if you do not maintain your Costco membership.
You must maintain your Costco membership to redeem Costco Cash Rewards earned with the Card Account. Each authorized user must also have a Costco membership in his or her name. </p>
</div>
<div class="termsSection termsCostco termsMembershipSection">
<h2>Auto Bill of Costco Membership Fee</h2>
<p> If you are not currently enrolled in auto renewal of your Costco Membership with Costco, you are the Primary Member on your Costco membership, your application is approved, and your card is activated, your Costco
membership fee will automatically renew, and be charged to your Costco Anywhere Visa Card annually on the first day of your renewal month until you choose a different form of payment or cancel your Costco membership, and
will qualify toward your annual credit card reward certificate. Membership fees will be charged based on your membership level (<span aria-hidden="true">$60/yr</span><span class="sr-only">sixty dollars per year</span> for
Gold Star and Business Members, plus a <span aria-hidden="true">$60/yr</span><span class="sr-only">sixty dollars per year</span> upgrade fee for Executive Members) and <span aria-hidden="true">$60/yr</span><span
class="sr-only">sixty dollars per year</span> for each Affiliate Business Member, if any, plus applicable taxes. If you wish to pay your Costco membership fee with a different form of payment or cancel your Costco
membership, please visit the Costco Membership Counter or call Costco at 1-800-774-2678, at least 48 hours prior to the first day of your renewal month. Visit
<a class="btn-link speedbump nwLink" data-toggle="modal" data-target="#speedbumpModal" href="http://www.costco.com">Costco.com</a> for more information about Costco's membership terms. </p>
</div>
<div class="termsSection termsIdentityVerficationSection">
<h4 style="margin-bottom: 20px;font-weight: 300;font-size: 22px;">Identity Verification</h4>
<p> IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT - To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify,
and record information that identifies each person who opens an account. This means that we will ask for your name, address, date of birth, and other information that will allow us to identify you when you open an account.
We may also ask to see your driver's license or other identifying documents; and obtain identification information about you or any authorized user you add to your account. </p>
</div>
<p><strong>Authorization for the Social Security Administration to Disclose Your Social Security Number Verification -</strong> You authorize the Social Security Administration (SSA) to verify and disclose to Citibank, N.A.
through Experian for the purpose of this transaction whether the name, Social Security Number (SSN) and date of birth you have submitted matches information in SSA records. Your consent is for a one-time validation within the
next 90 days.</p>
<div class="termsSection termsIdentityVerficationSection">
<h4 style="margin-bottom: 20px;font-weight: 300;font-size: 22px;">Communications</h4>
<p>You agree that we and or our service providers may contact you at any phone number provided, email address, or mailing address. This includes communications to mobile or similar device. We may contact you by live person,
auto dialer, recorded or artificial voice, text, or email for servicing, marketing information, or for decision for credit card application.</p>
</div>
<div class="termsSection termsCommon termsCreditReportSection">
<h4 style="margin-bottom: 20px;font-weight: 300;font-size: 22px;">Credit Reports</h4>
<p> You authorize us to get credit reports and other information about you from consumer reporting agencies and other sources, for such purposes as: determining whether to issue you a Card Account, administering, reviewing and
renewing the Card Account, credit line increases or decreases, collection and other servicing of the Card Account, and offering other products and services and for any other uses permitted by law. If you ask us, we'll tell
you whether or not we requested a credit bureau report and the names and addresses of any credit bureaus that provided us with such reports. From time to time, we may report negative information about your Card Account
behavior, like delinquencies, to consumer reporting agencies. </p>
</div>
<div class="termsSection termsCreditInfoSection">
<h4 style="margin-bottom: 20px;font-weight: 300;font-size: 22px;">Credit Information</h4>
<p>To receive a Card Account, you must meet our applicable criteria bearing on creditworthiness and any other of our eligibility criteria, which we determine in our sole discretion.</p>
<p>Your credit limit will be determined based on the following:</p>
<ul>
<li>Your annual salary and wages</li>
<li>Any other annual income</li>
<li>A review of your debt, including the debt listed on your credit report</li>
</ul>
<p>We'll inform you of your credit limit when you receive your credit card. Some limits may be as low as $500. Please note that cash advances may be limited to a portion of your credit limit.</p>
</div>
<div class="termsSection termsCardAgreementSection">
<h4 style="margin-bottom: 20px;font-weight: 300;font-size: 22px;">Card Agreement</h4>
<p> If you are approved for a Card Account, you'll receive a Card Agreement before you can use your Card Account. The terms of the Card Agreement will take effect once you use your Card Account. Even if you do not use your
Card Account, the Card Agreement will take effect if you do not cancel your Card Account within 30 days after we send you the Card Agreement. We have the right to make changes to the terms of your Card Account (including
rates and fees) in accordance with the Card Agreement. </p>
</div>
<div class="termsSection termsInfoSharingSection">
<h2>Information Sharing</h2>
<p>IMPORTANT NOTICE REGARDING PRIVACY: You understand and agree that by submitting this application you are furnishing all information in this application to Citi and that Citi may use any information collected from you
regarding you personally and your business in accordance with Citi's Privacy Policy located online at www.citi.com/privacy. By applying for the Card Account, you agree to allow Costco to send membership information and
spending information, such as your annual spending at Costco and various Costco transaction amounts over the past 12 months, to Citi. By completing this application, you also authorize Citi to share with Costco the
information you provided to us on the application as well as experiential and transactional information regarding your activity with Citi. </p>
</div>
<div class="termsSection termsSpecialNoticesSection">
<h4 style="margin-bottom: 20px;font-weight: 300;font-size: 22px;">Special Notices</h4>
<p>
<span class="font-bold">Notice to Ohio Residents:</span> The Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers, and that credit reporting agencies
maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.
</p>
<p>
<span class="font-bold">Notice to Wisconsin Residents:</span> No marital property agreement, unilateral statement, or court decree adversely affects our rights, unless you give us a copy of such agreement, statement or court
order before we grant you credit, or we have actual knowledge of its terms before your account is opened.
</p>
</div>
<div class="termsSection termsImportantAuthUserSection">
<h4 style="margin-bottom: 20px;font-weight: 300;font-size: 22px;">Important Information About Adding An Authorized User</h4>
<p><span class="font-bold">Before adding an authorized user to your Card Account you should know:</span></p>
<ul>
<li>You're responsible for all charges made or allowed to the Card Account by the authorized user.</li>
<li>Authorized users have access to your Card Account information.</li>
<li> Before adding an authorized user, you must let him/her know that we may report Card Account performance to the credit reporting agencies in the authorized user's name. </li>
</ul>
<p>If we ask for information about the authorized user, you must obtain their permission to share their information with us and for us to share it as allowed by applicable law. </p>
</div>
<div class="termsSection termsBalanceTransInfoSection">
<h4 style="margin-bottom: 20px;font-weight: 300;font-size: 22px;">Balance Transfer Information</h4>
<p>
<span class="font-bold">How to Make Balance Transfers</span>
</p>
<ul class="numbered-list">
<li> After receiving your card, you can call the customer service number on the back of your card to transfer balances. Balance transfers are made available at our discretion. All balance transfers are subject to the
standard purchase APR unless an introductory and/or other promotional rate applies. </li>
<li> If we give you the option to transfer a balance with your application, it will take at least 14 days after your Card Account is opened to process any balance transfer payments. During this time, you may cancel or modify
your balance transfer request by calling the number on the back of your card. </li>
<li> You may transfer any amount, but the total amount of your balance transfer plus balance transfer fees must be less than your available credit limit. Be sure you don't transfer any disputed purchase or other charge
amount because you may lose your dispute rights. You cannot transfer balances from other accounts issued by Citi or its affiliates. If you are unsure of the issuer on the account, please visit
<a href="https://www.citi.com/affiliatesproducts" style="font-size:14px" target="_blank">www.citi.com/affiliatesproducts</a> for a list of Citi products and affiliates.</li>
<li>Continue to make payments on your other accounts until you have confirmed this balance transfer has been received. Once approved, we'll pay the amount of the balance transfer directly to that issuer. The available credit
limit for your new card will be reduced by the total amount of the transfers, including fees we approve.</li>
</ul>
<p><span class="font-bold">Things You Should Know About Your Balance Transfer Offer:</span></p>
<p>If you transfer a balance with this offer, interest will be charged on purchases made with your credit card unless your purchases have a 0% APR or you pay the New Balance shown on your statement (including the amount of
your balance transfer) in full by the payment due date each billing period.</p>
<p>If you default under your Card Agreement you may lose any promotional APR on the balance transfer.</p>
</div><!-- costcoCashRewardsProgramTermsCON -->
<div class="termsSection termsCostco termsCostcoCashSection">
<h2>Costco Cash Rewards Program Terms</h2>
<p> Your Card Account will earn Costco Cash Rewards based on your purchases that can be redeemed for merchandise or cash back at any U.S. Costco warehouse, including Puerto Rico ("Costco Cash Rewards"). </p>
<p><span class="font-bold">Earning Costco Cash Rewards on Purchases:</span> You'll earn Costco Cash Rewards for purchases using your Card Account, minus returns and refunds, as follows:</p>
<ul>
<li>4% cash back on eligible gas worldwide, including gas at Costco, for the first $7,000 per year in gas purchases and then 1% thereafter. <ul class="oddDotList">
<li><span class="font-bold">Certain Non-Qualifying Purchases.</span> You will only earn 1% cash back, not 4%, for gas purchased at superstores, supermarkets, convenience stores and warehouse clubs other than Costco or
for fuel used for non-automobile purposes.</li>
</ul>
</li>
<li> 3% cash back on restaurant (including cafes, bars, lounges and fast food restaurants) and eligible travel purchases worldwide, including airfare, hotels, car rentals, travel agencies, cruise lines and Costco Travel. <ul
class="oddDotList">
<li><span class="font-bold">Certain Non-Qualifying Purchases.</span> You will only earn 1%, not 3%, for purchases made at bakeries and certain restaurants/cafes inside department stores, grocery or warehouse clubs.
Additionally, you will only earn 1%, not 3%, for purchases made at timeshares, campgrounds, bed & breakfasts and of train and commuter travel.</li>
</ul>
</li>
<li> 2% cash back on all other purchases from Costco and <a class="btn-link speedbump nwLink" data-toggle="modal" data-target="#speedbumpModal" href="http://www.costco.com">Costco.com</a>. </li>
<li> 1% cash back on all other purchases, including the non-qualifying purchases listed above. </li>
</ul>
<p><span class="font-bold">What doesn't qualify as a purchase?</span> The following types of transactions don't qualify as purchases that earn Costco Cash Rewards:</p>
<ul type="circle">
<li>Use of checks that access your Card Account</li>
<li>Balance transfers</li>
<li>Cash advances</li>
<li> Travelers checks, foreign currency purchases, money orders, wire transfers and similar cash-like transactions </li>
<li>Lottery tickets, gaming chips and similar betting transactions</li>
<li>Interest and account fees</li>
<li>Unauthorized charges</li>
<li>Items returned for credit</li>
</ul>
<p><strong>Merchant Classification for Rewards Categories:</strong> Merchants are assigned a merchant category code ("MCC"), which is determined in accordance with Visa procedures based on the kinds of products and services
the merchants primarily sell. We don’t control the assignment of these codes and are not responsible for the codes used by merchants. When you use your card to make a purchase, we’re provided an MCC for that purchase. We
group similar merchant codes into categories for purposes of making rewards offers. Sometimes you may expect a purchase to fit within a rewards category, but if the code assigned to the merchant wasn’t grouped into that
category as recognized by Citi, your purchase will not qualify for additional rewards. For example, you won’t earn additional points for purchases at a restaurant located within a retailer if the restaurant is assigned a
"retailer" code instead of a "restaurant" code. Please also note – purchases made through mobile/wireless technology may not earn additional Costco Cash Rewards depending on how the technology is set up to process the
purchase. We reserve the exclusive right to determine which purchases qualify for additional Costco Cash Rewards.</p>
<p><span class="font-bold">Returns:</span> Returned items may result in credits being applied to your Card Account which will reduce or may eliminate accumulated Costco Cash Rewards and may result in a negative cash rewards
balance. If your Card Account has a negative Costco Cash Rewards balance, any newly earned Costco Cash Rewards will be used to offset such negative Costco Cash Rewards balance until such balance has been brought to zero.</p>
<p>You must maintain your Costco Membership to receive and redeem your Costco Cash Rewards.</p>
<p><span class="font-bold">Receiving & Redeeming Costco Cash Rewards:</span> Your reward is distributed annually once your February billing statement closes. Your reward is distributed in the form of a credit card reward
certificate, unless your annual reward amount is greater than $10,000, in which case Citi and Costco reserve the right to distribute your reward in an alternative form (e.g., a check or electronic transfer), at Citi's and/or
Costco's discretion. Credit card reward certificates are redeemable through December 31 of the year issued in a single transaction at any U.S. Costco warehouse, including Puerto Rico, for merchandise or cash back. An
alternative form for redemption other than within the warehouse may be provided at Citi and/or Costco's discretion. The credit card reward certificate, or alternative-form distribution, will contain your Costco Cash Rewards
balance based on your eligible purchases during the annual reward period. The annual reward period is based on January through December billing statements. Should you choose to redeem only a portion of the certificate for
merchandise, you will receive the remaining balance in cash or an alternative form (e.g. check or electronic transfer), at the Costco warehouse's discretion. Requests to redeem the credit card reward certificate for cash may
be fulfilled in an alternative form (e.g., a check or electronic transfer), at the Costco warehouse's discretion. Your credit card reward certificate must be redeemed in person on or prior to its expiration date of December
31 in the year in which it is issued, unless an alternative form for redemption is provided (at Citi and/or Costco's discretion). Any Costco Cash Rewards you have earned on purchases made by Authorized Users on your Card
Account will be added to your Costco Cash Rewards total. Only you, the primary cardmember, are eligible to receive the annual credit card reward certificate; however, you or anyone you authorize may redeem the certificate as
long as you or the authorized individual has a valid Costco membership. <span class="font-bold">You will not receive a credit card reward certificate if your reward is less than $1 or your account is closed at the time
your credit card reward certificate is scheduled to be sent; any Costco Cash Rewards that had been accrued at that time will be forfeited. You must maintain your Costco Membership to redeem your credit card reward
certificate.</span></p>
<p><span class="font-bold">Account Closure:</span> If we close your Card Account, you will no longer be able to earn Costco Cash Rewards, and you will forfeit any Costco Cash Rewards accumulated, but not yet distributed. If
you close or convert your Card Account prior to receiving the credit card reward certificate in your February billing statement, any earned Costco Cash Rewards will be forfeited.</p>
<p><span class="font-bold">Forfeiture:</span> All Costco Cash Rewards not disbursed via an annual credit card reward certificate due to the reward amount being less than $1, the account status (including account closure), or
other reasons, will be forfeited. Additionally, any Costco Cash Rewards not redeemed by December 31 of the year of issuance of the credit card reward certificate will be forfeited.</p>
<p><span class="font-bold">Value of Costco Cash Rewards:</span> Costco Cash Rewards have no cash value until such time as they are redeemed at a Costco warehouse.</p>
<p><span class="font-bold">Property Rights:</span> You have no property rights or other legal interests in Costco Cash Rewards. Costco Cash Rewards may not be transferred to any other person including through such events as
inheritance, bankruptcy or divorce. Costco Cash Rewards cannot be assigned or pledged.</p>
<p><span class="font-bold">Changes to Program Rules:</span> We may make changes to the Costco Cash Rewards Program at any time without notice. We will give you 30 days' written notice if we make any of the following changes: a
change that negatively affects the number of Costco Cash Rewards you can earn, a change that negatively affects how/when you may lose your Costco Cash Rewards, a change that negatively affects how you can exercise your
rights with respect to Costco Cash Rewards, or if we cancel the program.</p>
<p><span class="font-bold">Fraud:</span> If we see evidence of fraud, misuse, abuse, or suspicious activity, we will investigate and, if we determine that fraud, misuse or abuse has occurred, we may take actions against you.
These actions may include, without limitation:</p>
<ul type="circle">
<li>Taking away the Costco Cash Rewards you earned because of fraud, misuse or abuse</li>
<li>Preventing you from earning Costco Cash Rewards</li>
<li>Suspending or closing your Costco Cash Rewards Account</li>
<li>Taking legal action to recover Costco Cash Rewards redeemed because of such activity and to recover our monetary losses, including litigation costs and damages</li>
</ul>
<p>Some examples of fraud, misuse, abuse and suspicious activity include:</p>
<ul type="circle">
<li>Using your Card Account in an abusive manner for the primary purpose of acquiring Costco Cash Rewards </li>
<li>Using your Business Card Account other than for business or commercial purposes</li>
</ul>
</div>
<!-- /costcoCashRewardsProgramTermsCON -->
</div>
</div>
</div>
<table width="100%" border="0" cellspacing="0" cellpadding="3" role="presentation">
<tbody>
<tr>
<td>
<div align="right"> </div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<div id="collapsibleTermsContainer"><a id="collapsibleTermsBtn" class="btn btn-default" href="#termsContainer" type="button">Expand Terms & Conditions </a><span> (including information about rates and fees)</span></div>
</div>
</div>
</section>
<section class="ddSection" id="ddTermsDisclosures">
<div class="row">
<div id="ddTermsConditionsText" class="ddTermsAndConditions col-xs-12 "></div>
</div>
<div class="container">
<div class="ddSubSection">
<div class="row jumbotron">
<div class="checkbox">
<input id="TERMS_DISCLOSURE" name="TERMS_DISCLOSURE" value="TERMS_DISCLOSURE" class="centerInput" type="checkbox" aria-labelledby="TERMS_DISCLOSURE-label">
<label for="TERMS_DISCLOSURE" id="TERMS_DISCLOSURE-label">
<p> </p> I have read and agree to the above Terms and Conditions, which contain rate, fee, and other information, including rewards information and information about the auto renewal of my Costco membership, if applicable.<br><br> I
also agree to receive my application status/decision by email. Because only certain notices relating to my application will be sent by email, I understand and agree that I will also need to check the U.S. mail for communications about
my application.<br><br>I also agree to receive my account opening disclosures, including <a href="https://www.citi.com/CRD/PDF/CMA/cardAgreement/CMA_CostcoConsADA-3.pdf" target="_blank">Cardmember Agreement (PDF)</a> and
<a href="https://www.citicards.com/cards/wv/JRS/ACQ/img/CostcoConPrivacy.pdf" target="_blank">Privacy Notice</a>, electronically.<br><br> I understand that to receive these materials by email and electronically, my device must meet
the systems and hardware requirements necessary to access and save these documents. I confirm that my device meets these requirements. <button tabindex="0" class="btn btn-info helpicon" data-toggle="popover" data-close="button"
data-placement="top" data-content="You must have a personal computer or mobile device capable of opening and saving PDF files, an internet connection and browser with at least 128 bit encryption. " data-container="body"
data-html="true"
data-template="<div class="popover" role="tooltip"><div class="arrow"></div><h3 class="popover-title"></h3><div class="popover-content"></div><button class="popover-close-button">close</button></div>"
data-original-title="System and Hardware Requirements" role="button" aria-label="System and Hardware Requirements Tooltip Button">?</button>
</label>
<p>To request a paper, large font or Braille copy of any of these documents, call us at 1-888-201-4523 (For TTY: Use 711 or other Relay Service) and we will mail them to you at no charge.</p>
<p id="costcoAutoRenewalContainer"><strong>Costco Membership Auto Renewal </strong><br>If you are not currently enrolled in auto renewal of your Costco Membership with Costco, you are the Primary Member on your Costco membership, your
application is approved, and your card is activated, your Costco membership fee will automatically renew, and be charged to your Costco Anywhere Visa Card annually on the first day of your renewal month until you choose a different
form of payment or cancel your Costco membership, and will qualify toward your annual credit card reward certificate. Membership fees will be charged based on your membership level ($60/yr for Gold Star and Business Members, plus a
$60/yr upgrade fee for Executive Members) and $60/yr for each Affiliate Business Member, if any, plus applicable taxes. If you wish to pay your Costco membership fee with a different form of payment or cancel your Costco membership,
please visit the Costco Membership Counter or call Costco at 1-800-774-2678, at least 48 hours prior to the first day of your renewal month. Visit Costco.com for more information about Costco's membership terms.</p>
<p><strong>Note: You must check the box before submitting the application.</strong></p>
</div>
</div>
</div>
</div>
</section>
<section class="ddSection" id="ddSubmit">
<div class="container">
<div class="ddSubSection">
<div class="row">
<button type="submit" id="step1_submit" name="step1_submit" value="Submit" class="btn btn-primary spinnerContainer">Agree & Submit<div class="spinner"></div></button>
<button id="timeoutWarningBtn" type="button" class="btn-link collapse" data-toggle="modal" data-target="#timeoutWarningModal"></button>
</div>
</div>
</div>
</section>
<input type="hidden" name="_flowExecutionKey" value="_cspring-web-flow-application_k9A5523CE-1CCD-2F30-2323-D281F477034D" id="flowExcutionKey" aria-labelledby="flowExcutionKey-label">
<input type="hidden" name="_eventId" value="ConsumerApplySubmit" id="_eventId" aria-labelledby="_eventId-label">
<div class="modal fade" id="addEmployeeModal" tabindex="-1" role="dialog" aria-labelledby="addEmployeeModalLabel" aria-hidden="true">
<div class="modal-dialog modal-lg" role="document">
<div class="modal-content">
<div class="modal-header">
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true"></span><span class="sr-only">Close</span></button>
<h4 class="modal-title" id="addEmployeeModalLabel"> Authorized User </h4>
</div>
<div class="modal-body">
<div class="row">
<div class="col-xs-12">
<p>Each Authorized User must have a current Costco membership in his/her name. We may cancel an Authorized User's card and participation in this program if he/she does not maintain their Costco membership.</p>
<p>Authorized Users are permitted to:</p>
<ul>
<li>View their transactions</li>
<li>Accept offers</li>
<li>Make payments</li>
<li>Link an Account to an existing User ID</li>
<li>Change Billing Address</li>
</ul>
<p>Authorized Users are not permitted to:</p>
<ul>
<li>Enroll in Paperless Statements</li>
<li>Add or remove another Authorized User</li>
<li>Enroll in or cancel AutoPay</li>
</ul>
</div>
</div>
</div>
<div class="modal-footer">
<a href="#" class="btn btn-default pull-right" data-dismiss="modal">Close</a>
</div>
</div>
</div>
</div><!-- Modal -->
<div class="modal fade" id="speedbumpModal" tabindex="-1" role="dialog" aria-labelledby="speedbumpModalLabel" aria-hidden="false">
<div class="modal-dialog modal-lg" role="document">
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Secure Application RETURN TO DASHBOARD Close Do you want to return to the dashboard and navigate away from the application? Yes No SIGN OFF Close Do you want to sign off and navigate away from the application? Yes No COSTCO ANYWHERE VISA® CARD BY CITI * Exclusively for Costco members. Cash back will be provided as an annual credit card reward certificate once your February billing statement from Citi closes and is redeemable for cash or merchandise at US Costco Warehouses. * 4% cash back on eligible gas for the first $7,000 per year and then 1% thereafter * 3% cash back on restaurants and eligible travel purchases * 2% cash back on all other purchases from Costco and Costco.com * 1% cash back on all other purchases To continue, complete or fix # entries below.Go to the first entry. TELL US ABOUT YOURSELF (All fields are required unless specified optional) MEMBERSHIP NUMBER Membership Number ? PERSONAL INFORMATION First Name Middle Initial (opt.) Last Name Suffix (opt.) Sr Jr II III IV Home Address ? Home Address ? Apt./Ste. (opt.) ZIP Code City State Alabama Alaska American Samoa Armed Forces-AA Armed Forces-AE Armed Forces-AP Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas US Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming I'd like to provide a P.O. Box address. (opt.) P.O. Box ? ZIP Code City State Alabama Alaska American Samoa Armed Forces-AA Armed Forces-AE Armed Forces-AP Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas US Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Social Security Number ? Date of Birth (MM-DD-YYYY) Country of Citizenship Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, St. Eustatius & Saba Bosnia & Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon, United Republic of Canada Cape Verde Islands Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d Ivoire (Ivory Coast) Croatia Cuba Curacao Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territory Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island & McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Airlines Iran, Islamic Republic of Iraq Ireland, Republic of Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao Peoples Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao, China Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of Macedonia Reunion Romania Russian Federation Rwanda Samoa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch Part) Slovak Republic Slovenia South Georgia & the South Sandwich Islands Solomon Islands Somalia South Africa South Korea South Sudan, Republic of Spain Sri Lanka St. Barthelemy St. Helena, Ascension & Tristan da Cunha St. Kitts & Nevis St. Lucia St. Martin St. Pierre & Miquelon St. Vincent & the Grenadines Sudan Suriname Svalbard & Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Territory of the Wallis & Futuna Islands Thailand Togo Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu U.S. Minor Outlying Islands U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom (Great Britain) United States Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Vietnam Western Sahara Yemen Zambia Zimbabwe Please provide at least one phone number. Mobile Phone Number (opt.) ? Home Phone Number (opt.) ? I want to provide a Home Phone Number (opt.) EMAIL ADDRESS Email Address ? SECURITY WORD Security Word Hint ? Favorite Pet's Name Favorite Snack Favorite Hobby Favorite Teacher Best friend's last name First Concert Attended Ideal Place to Vacation Your childhood nickname Security Word ? FINANCIAL INFORMATION Part of my total annual income is exempt from U.S. federal income tax (opt.) If you are not sure if any of your income is not taxable, please refer to your tax documents or consult with your tax professional. Total Annual Income ? $ Non-Taxable Annual Income ? $ Monthly Mortgage/Rent Payment ? $ I have the following accounts : Checking Savings Money Market AUTHORIZED USER To add an Authorized User to your account, you'll need to know his or her: * Full Name * Date of Birth * Social Security Number * Costco Membership Number If you don't know this information or have it with you, you can add an Authorized User to your account later by phone or online. Each Authorized User must have a current Costco membership in his/her name to receive an Authorized User card. We may cancel an Authorized User's card and participation in this program if he/she does not maintain their Costco Membership. You must pay us for all charges made or allowed by Authorized Users. Authorized Users are able to get account information. You also need the Authorized User's permission to give us any information about him or her that we request and to allow us to share information about him or her. I want to add an Authorized User to this account now. (opt.) ? You must pay us for all charges made or allowed by the authorized user. Authorized users are able to get account information and copies of statements. Before adding him or her to your account, you must let the authorized user know that we may report account performance to the credit reporting agencies in the authorized user's name. You also need the authorized user's permission to give us any information about him/her that we request and to allow us to share information about him or her. Membership Number ? First Name Middle Initial (opt.) Last Name Suffix (opt.) Sr Jr II III IV Last 4 of Social Security Number Date of Birth (MM-DD-YYYY) Address is the same as primary cardmember. (opt.) Home Address ? Home Address ? Apt./Ste. (opt.) ZIP Code City State Alabama Alaska American Samoa Armed Forces-AA Armed Forces-AE Armed Forces-AP Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas US Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming 1TERMS & CONDITIONS Printer Friendly Version UDAP T&C CITI DISCLOSURES INTEREST RATES AND INTEREST CHARGES ANNUAL PERCENTAGE RATE (APR) FOR PURCHASES 15.99% This APR will vary with the market based on the Prime Rate.a APR FOR BALANCE TRANSFERS 15.99%. Balance transfers must be completed within 2 months from date of account opening. This APR will vary with the market based on the Prime Rate.a APR FOR CASH ADVANCES 25.99% This APR will vary with the market based on the Prime Rate.b APR FOR CITI FLEX PLAN 15.99% This APR will vary with the market based on the Prime Rate.a PENALTY APR AND WHEN IT APPLIES Up to 29.99%, based on your creditworthiness. This APR will vary with the market based on the Prime Rate.c This APR may be applied to your account if you: (1) Make a late payment or (2) Make a payment that is returned. How Long Will the Penalty APR Apply? If your APRs are increased for either of these reasons, the Penalty APR may apply indefinitely. HOW TO AVOID PAYING INTEREST ON PURCHASES Your due date is at least 23 days after the close of each billing cycle. We will not charge you interest on purchases if you pay your monthly Citi Flex Plan Payment Amount plus your entire balance, excluding any Citi Flex Plan balances, by the due date each month. If you do not pay your monthly Citi Flex Plan Payment plus your entire balance, excluding any Citi Flex Plan balances, by the due date each month, you will pay interest on your purchases from the date they're posted to your account. We will begin charging interest on cash advances and balance transfers on the transaction date. We will begin charging interest on a Citi Flex Plan balance at the start of the billing cycle following the billing cycle during which you created the Citi Flex Plan. MINIMUM INTEREST CHARGE If you are charged interest, the charge will be no less than 50 cents. FOR CREDIT CARD TIPS FROM THE CONSUMER FINANCIAL PROTECTION BUREAU To learn more about factors to consider when applying for or using a credit card, visit the website of the Consumer Financial Protection Bureau at http:// www.consumerfinance.gov/learnmore. FEES ANNUAL FEE No annual fee for this credit card with your paid Costco Membership. TRANSACTION FEES * Balance Transfer * Either $5 or 5% of the amount of each transfer, whichever is greater. * Cash Advance * Either $10 or 5% of the amount of each cash advance, whichever is greater. * Foreign Purchase Transaction * None PENALTY FEES * Late Payment * Up to $40 * Returned Payment * Up to $40 How We Will Calculate Your Balance: We use a method called "daily balance (including new transactions)." For more information call Citibank at 1-877-625-6382 (For TTY: Use 711 or other Relay Service). New York residents may contact the New York State Department of Financial Services at (800) 342-3736 or www.dfs.ny.gov for comparative information on credit card rates, fees and grace periods. Payment Allocation: We may apply the portion of your payments up to your Minimum Payment Due to lower APR balances first. Generally, payments above your Minimum Payment Due will be applied to your highest APR balance first. Prime Rate: The variable rates shown here are accurate based on a 4% Prime Rate. a We add 11.99% to the Prime Rate to determine the Purchase/Balance Transfer/Citi Flex Plan APR. b We add 21.99% to the Prime Rate to determine the Cash Advances APR. c We add up to 26.74% to the Prime Rate to determine the Penalty APR. Variable rate APRs will not exceed 29.99%. Note: Balance Transfers and Flex Plans are made available at our discretion. COSTCO ANYWHERE VISA® CARD BY CITI TERMS & CONDITIONS This offer is valid for new accounts only. You must be at least 18 years of age. If you're married, you may apply for a separate account. The Card offer referenced in this communication is only available to individuals who reside in the United States and its territories. Your eligibility for a particular product and service is subject to a final determination by Citibank. This communication is not and should not be construed as, an offer to individuals outside of the United States. Citibank, N.A., Sioux Falls, SD, ("Citi," "we" or "us") is the issuer of your account. Please allow 4 weeks from date of submission to process your Card Account application. -------------------------------------------------------------------------------- By submitting this application, you request that Citi establish a Costco Anywhere Visa® Card by Citi account (the "Card Account") to you and any authorized users you have designated. You agree that all information provided in this application must be verifiable and accurate. The Card Account is governed by the terms of the card agreement ("Card Agreement") provided when the Card Account is issued. -------------------------------------------------------------------------------- COSTCO MEMBERSHIP The Card Account is only available if you have a current Costco membership in your name. We may cancel your Card Account and participation in the Costco Cash Rewards Program if you do not maintain your Costco membership. You must maintain your Costco membership to redeem Costco Cash Rewards earned with the Card Account. Each authorized user must also have a Costco membership in his or her name. AUTO BILL OF COSTCO MEMBERSHIP FEE If you are not currently enrolled in auto renewal of your Costco Membership with Costco, you are the Primary Member on your Costco membership, your application is approved, and your card is activated, your Costco membership fee will automatically renew, and be charged to your Costco Anywhere Visa Card annually on the first day of your renewal month until you choose a different form of payment or cancel your Costco membership, and will qualify toward your annual credit card reward certificate. Membership fees will be charged based on your membership level ($60/yrsixty dollars per year for Gold Star and Business Members, plus a $60/yrsixty dollars per year upgrade fee for Executive Members) and $60/yrsixty dollars per year for each Affiliate Business Member, if any, plus applicable taxes. If you wish to pay your Costco membership fee with a different form of payment or cancel your Costco membership, please visit the Costco Membership Counter or call Costco at 1-800-774-2678, at least 48 hours prior to the first day of your renewal month. Visit Costco.com for more information about Costco's membership terms. IDENTITY VERIFICATION IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT - To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. This means that we will ask for your name, address, date of birth, and other information that will allow us to identify you when you open an account. We may also ask to see your driver's license or other identifying documents; and obtain identification information about you or any authorized user you add to your account. Authorization for the Social Security Administration to Disclose Your Social Security Number Verification - You authorize the Social Security Administration (SSA) to verify and disclose to Citibank, N.A. through Experian for the purpose of this transaction whether the name, Social Security Number (SSN) and date of birth you have submitted matches information in SSA records. Your consent is for a one-time validation within the next 90 days. COMMUNICATIONS You agree that we and or our service providers may contact you at any phone number provided, email address, or mailing address. This includes communications to mobile or similar device. We may contact you by live person, auto dialer, recorded or artificial voice, text, or email for servicing, marketing information, or for decision for credit card application. CREDIT REPORTS You authorize us to get credit reports and other information about you from consumer reporting agencies and other sources, for such purposes as: determining whether to issue you a Card Account, administering, reviewing and renewing the Card Account, credit line increases or decreases, collection and other servicing of the Card Account, and offering other products and services and for any other uses permitted by law. If you ask us, we'll tell you whether or not we requested a credit bureau report and the names and addresses of any credit bureaus that provided us with such reports. From time to time, we may report negative information about your Card Account behavior, like delinquencies, to consumer reporting agencies. CREDIT INFORMATION To receive a Card Account, you must meet our applicable criteria bearing on creditworthiness and any other of our eligibility criteria, which we determine in our sole discretion. Your credit limit will be determined based on the following: * Your annual salary and wages * Any other annual income * A review of your debt, including the debt listed on your credit report We'll inform you of your credit limit when you receive your credit card. Some limits may be as low as $500. Please note that cash advances may be limited to a portion of your credit limit. CARD AGREEMENT If you are approved for a Card Account, you'll receive a Card Agreement before you can use your Card Account. The terms of the Card Agreement will take effect once you use your Card Account. Even if you do not use your Card Account, the Card Agreement will take effect if you do not cancel your Card Account within 30 days after we send you the Card Agreement. We have the right to make changes to the terms of your Card Account (including rates and fees) in accordance with the Card Agreement. INFORMATION SHARING IMPORTANT NOTICE REGARDING PRIVACY: You understand and agree that by submitting this application you are furnishing all information in this application to Citi and that Citi may use any information collected from you regarding you personally and your business in accordance with Citi's Privacy Policy located online at www.citi.com/privacy. By applying for the Card Account, you agree to allow Costco to send membership information and spending information, such as your annual spending at Costco and various Costco transaction amounts over the past 12 months, to Citi. By completing this application, you also authorize Citi to share with Costco the information you provided to us on the application as well as experiential and transactional information regarding your activity with Citi. SPECIAL NOTICES Notice to Ohio Residents: The Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law. Notice to Wisconsin Residents: No marital property agreement, unilateral statement, or court decree adversely affects our rights, unless you give us a copy of such agreement, statement or court order before we grant you credit, or we have actual knowledge of its terms before your account is opened. IMPORTANT INFORMATION ABOUT ADDING AN AUTHORIZED USER Before adding an authorized user to your Card Account you should know: * You're responsible for all charges made or allowed to the Card Account by the authorized user. * Authorized users have access to your Card Account information. * Before adding an authorized user, you must let him/her know that we may report Card Account performance to the credit reporting agencies in the authorized user's name. If we ask for information about the authorized user, you must obtain their permission to share their information with us and for us to share it as allowed by applicable law. BALANCE TRANSFER INFORMATION How to Make Balance Transfers * After receiving your card, you can call the customer service number on the back of your card to transfer balances. Balance transfers are made available at our discretion. All balance transfers are subject to the standard purchase APR unless an introductory and/or other promotional rate applies. * If we give you the option to transfer a balance with your application, it will take at least 14 days after your Card Account is opened to process any balance transfer payments. During this time, you may cancel or modify your balance transfer request by calling the number on the back of your card. * You may transfer any amount, but the total amount of your balance transfer plus balance transfer fees must be less than your available credit limit. Be sure you don't transfer any disputed purchase or other charge amount because you may lose your dispute rights. You cannot transfer balances from other accounts issued by Citi or its affiliates. If you are unsure of the issuer on the account, please visit www.citi.com/affiliatesproducts for a list of Citi products and affiliates. * Continue to make payments on your other accounts until you have confirmed this balance transfer has been received. Once approved, we'll pay the amount of the balance transfer directly to that issuer. The available credit limit for your new card will be reduced by the total amount of the transfers, including fees we approve. Things You Should Know About Your Balance Transfer Offer: If you transfer a balance with this offer, interest will be charged on purchases made with your credit card unless your purchases have a 0% APR or you pay the New Balance shown on your statement (including the amount of your balance transfer) in full by the payment due date each billing period. If you default under your Card Agreement you may lose any promotional APR on the balance transfer. COSTCO CASH REWARDS PROGRAM TERMS Your Card Account will earn Costco Cash Rewards based on your purchases that can be redeemed for merchandise or cash back at any U.S. Costco warehouse, including Puerto Rico ("Costco Cash Rewards"). Earning Costco Cash Rewards on Purchases: You'll earn Costco Cash Rewards for purchases using your Card Account, minus returns and refunds, as follows: * 4% cash back on eligible gas worldwide, including gas at Costco, for the first $7,000 per year in gas purchases and then 1% thereafter. * Certain Non-Qualifying Purchases. You will only earn 1% cash back, not 4%, for gas purchased at superstores, supermarkets, convenience stores and warehouse clubs other than Costco or for fuel used for non-automobile purposes. * 3% cash back on restaurant (including cafes, bars, lounges and fast food restaurants) and eligible travel purchases worldwide, including airfare, hotels, car rentals, travel agencies, cruise lines and Costco Travel. * Certain Non-Qualifying Purchases. You will only earn 1%, not 3%, for purchases made at bakeries and certain restaurants/cafes inside department stores, grocery or warehouse clubs. Additionally, you will only earn 1%, not 3%, for purchases made at timeshares, campgrounds, bed & breakfasts and of train and commuter travel. * 2% cash back on all other purchases from Costco and Costco.com. * 1% cash back on all other purchases, including the non-qualifying purchases listed above. What doesn't qualify as a purchase? The following types of transactions don't qualify as purchases that earn Costco Cash Rewards: * Use of checks that access your Card Account * Balance transfers * Cash advances * Travelers checks, foreign currency purchases, money orders, wire transfers and similar cash-like transactions * Lottery tickets, gaming chips and similar betting transactions * Interest and account fees * Unauthorized charges * Items returned for credit Merchant Classification for Rewards Categories: Merchants are assigned a merchant category code ("MCC"), which is determined in accordance with Visa procedures based on the kinds of products and services the merchants primarily sell. We don’t control the assignment of these codes and are not responsible for the codes used by merchants. When you use your card to make a purchase, we’re provided an MCC for that purchase. We group similar merchant codes into categories for purposes of making rewards offers. Sometimes you may expect a purchase to fit within a rewards category, but if the code assigned to the merchant wasn’t grouped into that category as recognized by Citi, your purchase will not qualify for additional rewards. For example, you won’t earn additional points for purchases at a restaurant located within a retailer if the restaurant is assigned a "retailer" code instead of a "restaurant" code. Please also note – purchases made through mobile/wireless technology may not earn additional Costco Cash Rewards depending on how the technology is set up to process the purchase. We reserve the exclusive right to determine which purchases qualify for additional Costco Cash Rewards. Returns: Returned items may result in credits being applied to your Card Account which will reduce or may eliminate accumulated Costco Cash Rewards and may result in a negative cash rewards balance. If your Card Account has a negative Costco Cash Rewards balance, any newly earned Costco Cash Rewards will be used to offset such negative Costco Cash Rewards balance until such balance has been brought to zero. You must maintain your Costco Membership to receive and redeem your Costco Cash Rewards. Receiving & Redeeming Costco Cash Rewards: Your reward is distributed annually once your February billing statement closes. Your reward is distributed in the form of a credit card reward certificate, unless your annual reward amount is greater than $10,000, in which case Citi and Costco reserve the right to distribute your reward in an alternative form (e.g., a check or electronic transfer), at Citi's and/or Costco's discretion. Credit card reward certificates are redeemable through December 31 of the year issued in a single transaction at any U.S. Costco warehouse, including Puerto Rico, for merchandise or cash back. An alternative form for redemption other than within the warehouse may be provided at Citi and/or Costco's discretion. The credit card reward certificate, or alternative-form distribution, will contain your Costco Cash Rewards balance based on your eligible purchases during the annual reward period. The annual reward period is based on January through December billing statements. Should you choose to redeem only a portion of the certificate for merchandise, you will receive the remaining balance in cash or an alternative form (e.g. check or electronic transfer), at the Costco warehouse's discretion. Requests to redeem the credit card reward certificate for cash may be fulfilled in an alternative form (e.g., a check or electronic transfer), at the Costco warehouse's discretion. Your credit card reward certificate must be redeemed in person on or prior to its expiration date of December 31 in the year in which it is issued, unless an alternative form for redemption is provided (at Citi and/or Costco's discretion). Any Costco Cash Rewards you have earned on purchases made by Authorized Users on your Card Account will be added to your Costco Cash Rewards total. Only you, the primary cardmember, are eligible to receive the annual credit card reward certificate; however, you or anyone you authorize may redeem the certificate as long as you or the authorized individual has a valid Costco membership. You will not receive a credit card reward certificate if your reward is less than $1 or your account is closed at the time your credit card reward certificate is scheduled to be sent; any Costco Cash Rewards that had been accrued at that time will be forfeited. You must maintain your Costco Membership to redeem your credit card reward certificate. Account Closure: If we close your Card Account, you will no longer be able to earn Costco Cash Rewards, and you will forfeit any Costco Cash Rewards accumulated, but not yet distributed. If you close or convert your Card Account prior to receiving the credit card reward certificate in your February billing statement, any earned Costco Cash Rewards will be forfeited. Forfeiture: All Costco Cash Rewards not disbursed via an annual credit card reward certificate due to the reward amount being less than $1, the account status (including account closure), or other reasons, will be forfeited. Additionally, any Costco Cash Rewards not redeemed by December 31 of the year of issuance of the credit card reward certificate will be forfeited. Value of Costco Cash Rewards: Costco Cash Rewards have no cash value until such time as they are redeemed at a Costco warehouse. Property Rights: You have no property rights or other legal interests in Costco Cash Rewards. Costco Cash Rewards may not be transferred to any other person including through such events as inheritance, bankruptcy or divorce. Costco Cash Rewards cannot be assigned or pledged. Changes to Program Rules: We may make changes to the Costco Cash Rewards Program at any time without notice. We will give you 30 days' written notice if we make any of the following changes: a change that negatively affects the number of Costco Cash Rewards you can earn, a change that negatively affects how/when you may lose your Costco Cash Rewards, a change that negatively affects how you can exercise your rights with respect to Costco Cash Rewards, or if we cancel the program. Fraud: If we see evidence of fraud, misuse, abuse, or suspicious activity, we will investigate and, if we determine that fraud, misuse or abuse has occurred, we may take actions against you. These actions may include, without limitation: * Taking away the Costco Cash Rewards you earned because of fraud, misuse or abuse * Preventing you from earning Costco Cash Rewards * Suspending or closing your Costco Cash Rewards Account * Taking legal action to recover Costco Cash Rewards redeemed because of such activity and to recover our monetary losses, including litigation costs and damages Some examples of fraud, misuse, abuse and suspicious activity include: * Using your Card Account in an abusive manner for the primary purpose of acquiring Costco Cash Rewards * Using your Business Card Account other than for business or commercial purposes Expand Terms & Conditions (including information about rates and fees) I have read and agree to the above Terms and Conditions, which contain rate, fee, and other information, including rewards information and information about the auto renewal of my Costco membership, if applicable. I also agree to receive my application status/decision by email. Because only certain notices relating to my application will be sent by email, I understand and agree that I will also need to check the U.S. mail for communications about my application. I also agree to receive my account opening disclosures, including Cardmember Agreement (PDF) and Privacy Notice, electronically. I understand that to receive these materials by email and electronically, my device must meet the systems and hardware requirements necessary to access and save these documents. I confirm that my device meets these requirements. ? To request a paper, large font or Braille copy of any of these documents, call us at 1-888-201-4523 (For TTY: Use 711 or other Relay Service) and we will mail them to you at no charge. Costco Membership Auto Renewal If you are not currently enrolled in auto renewal of your Costco Membership with Costco, you are the Primary Member on your Costco membership, your application is approved, and your card is activated, your Costco membership fee will automatically renew, and be charged to your Costco Anywhere Visa Card annually on the first day of your renewal month until you choose a different form of payment or cancel your Costco membership, and will qualify toward your annual credit card reward certificate. Membership fees will be charged based on your membership level ($60/yr for Gold Star and Business Members, plus a $60/yr upgrade fee for Executive Members) and $60/yr for each Affiliate Business Member, if any, plus applicable taxes. If you wish to pay your Costco membership fee with a different form of payment or cancel your Costco membership, please visit the Costco Membership Counter or call Costco at 1-800-774-2678, at least 48 hours prior to the first day of your renewal month. Visit Costco.com for more information about Costco's membership terms. Note: You must check the box before submitting the application. Agree & Submit Close AUTHORIZED USER Each Authorized User must have a current Costco membership in his/her name. We may cancel an Authorized User's card and participation in this program if he/she does not maintain their Costco membership. 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