APPLICATION OMISSIONS MAY BE GROUNDS FOR DENIAL

APPLICATION OMISSIONS MAY BE GROUNDS FOR DENIAL.

PLEASE COMPLETE THIS APPLICATION IN DARK BLUE OR BLACK INK.

THE FOLLOWING INFORMATION IS GIVEN FOR THE PURPOSES OF OBTAINING A VISA CLASSIC ACCOUNTCREDIT LINE DESIRED: FORMCHECKBOX $500 FORMCHECKBOX $1,000 FORMCHECKBOX $1,500 FORMCHECKBOX $2,000 FORMCHECKBOX $2,500 FORMCHECKBOX $3,000 FORMCHECKBOX Other( $_____________________APPLICANT INFORMATION

NAME (FIRST, MIDDLE INITIAL, LAST)BIRTHDATE

DRIVERS LICENSE NO.SOCIAL SECURITY NO.MARITAL STATUS (Check your marital status only if you live in a community property state, such as California.)

FORMCHECKBOX MARRIED FORMCHECKBOX UNMARRIED FORMCHECKBOX SEPARATED

PRESENT ADDRESSCITYSTATE/ ZIPHOW LONGPHONE

( )

MAILING ADDRESS (IF DIFFERENT FROM PRESENT ADDRESS)NO. OF DEPENDENTS

EMPLOYERPOSITIONHOW LONGBUS. PHONE

EMPLOYERS ADDRESSGROSS EMPLOYMENT INCOME

$ MO.

PREVIOUS EMPLOYER (IF LESS THAN 2 YEARS AT PRESENT)POSITIONHOW LONG

OTHER ADDL INCOME ((NOTE: Alimony, Child Support, Separate maintenance need not be revealed if the applicant or co-applicant do not wish to have it considered as a basis for repayment.)

SOURCE:______________________________________________________ $SOURCE:______________________________________________________ $

NAME OF NEAREST RELATIVE NOT LIVING WITH YOUADDRESSRELATIONSHIP

CO-APPLICANT/SPOUSE INFORMATION

PROVIDE INFORMATION FOR YOUR SPOUSE ONLY IF A) YOU ARE MARRIED AND RESIDE IN A COMMUNITY PROPERTY STATE, SUCH AS CALIFORNIA, AND ARE APPLYING FOR SEPARATE CREDIT OR B) B) YOUR SPOUSE IS A CO-APPLICANT.

INFORMATION PROVIDED FOR: FORMCHECKBOX CO-APPLICANT FORMCHECKBOX SPOUSE (NOT A CO-APPLICANT) FORMCHECKBOX SPOUSE (IS A CO-APPLICANT)

NAME (FIRST, MIDDLE INITIAL, LAST)RELATIONSHIP TO APPLICANTBIRTHDATE

DRIVERS LICENSE NO.SOCIAL SECURITY NO.MARITAL STATUS (Check your marital status only if you live in a community property state, such as California.)

FORMCHECKBOX MARRIED FORMCHECKBOX UNMARRIED FORMCHECKBOX SEPARATED

PRESENT ADDRESSCITYSTATE/ ZIPHOW LONGPHONE

( )

MAILING ADDRESS (IF DIFFERENT FROM PRESENT ADDRESS)NO. OF DEPENDENTS

EMPLOYERPOSITIONHOW LONGBUS. PHONE

EMPLOYERS ADDRESSGROSS EMPLOYMENT INCOME

$ MO.

PREVIOUS EMPLOYER (IF LESS THAN 2 YEARS AT PRESENT)POSITIONHOW LONG

OTHER ADDL INCOME (NOTE: Alimony, Child Support, Separate maintenance need not be revealed if the applicant or co-applicant do not wish to have it considered as a basis for repayment.)

SOURCE:______________________________________________________ $SOURCE:______________________________________________________ $

NAME OF NEAREST RELATIVE NOT LIVING WITH YOUADDRESSRELATIONSHIP

FINANCIAL REFERENCES

PROVIDE INFORMATION FOR YOUR SPOUSE ONLY IF A) YOU ARE MARRIED AND RESIDE IN A COMMUNITY PROPERTY STATE, SUCH AS CALIFORNIA, AND ARE APPLYING FOR SEPARATE CREDIT OR B) YOUR SPOUSE IS A CO-APPLICANT.

APPLICANTCO-APPLICANT/SPOUSE

FORMCHECKBOX OWN HOMEMONTHLY PAYMENTLANDLORD OR MORTGATE HOLDER FORMCHECKBOX OWN HOMEMONTHLY PAYMENTLANDLORD OR MORTGATE HOLDER

FORMCHECKBOX RENT$ FORMCHECKBOX RENT$

ASSET INFORMATIONASSET INFORMATION

INSTITUTION: ________________________________________________________________INSTITUTION: ____________________________________________________________________

$ FORMCHECKBOX CHECKING FORMCHECKBOX SAVINGS FORMCHECKBOX INVESTMENT$ FORMCHECKBOX CHECKING FORMCHECKBOX SAVINGS FORMCHECKBOX INVESTMENT

INSTITUTION: ________________________________________________________________INSTITUTION: ____________________________________________________________________

$ FORMCHECKBOX CHECKING FORMCHECKBOX SAVINGS FORMCHECKBOX INVESTMENT$ FORMCHECKBOX CHECKING FORMCHECKBOX SAVINGS FORMCHECKBOX INVESTMENT

SIGNATURES

I /we represent that the information in this Application is true and complete. I /we authorized East West Bank to make credit inquiries (including employment and deposit verification) to act on my/our application for a Visa credit card. I/We authorize any person or consumer reporting agency to furnish East West Bank with any information in response to such an inquiry.

I/we agree to be bound by the Visa Classic Agreement and Initial Disclosures received with my card, except as otherwise provided by law. Each person signing this application will be obligated according to the terms of the Visa Classic Agreement and Initial Disclosures.

XX

Signature of ApplicantDateSignature of Co-ApplicantDate

SECURITY AGREEMENT (SECURED VISA ONLY)

I/we have requested the issuance of a secured Visa. As collateral for credit extended to me/us on my/our Visa credit card, I/we have deposited funds in an account no. ______________________________ at East West Bank in an amount equal to 200% of the line limit. I/we acknowledge that upon termination of this Visa, funds may be held for a minimum period of 45 days after termination to allow for all charges to be processed and that East West Bank shall return such funds and any interest thereon only to the holder of the collateral account. I/we also understand that East West Bank has the right to revoke this credit line extended to me/us by providing me/us with such notice as required by law. I/we also understand that East West Bank may, without notice, withdraw, set off and/or apply any such funds to the repayment of any amounts due on the account in the event of default.

XX

Signature of ApplicantDateSignature of Co-ApplicantDate

Please see the enclosed Important Disclosures for rate, fee, and other cost information.

PLEASE DO NOT WRITE BELOW THIS LINE

FORMCHECKBOX NEW FORMCHECKBOX REISSUEFile #Bank #

FORMCHECKBOX LIMIT INCREASE FORMCHECKBOX BALANCE TRANSFERType Card#ApprovedAgent #Date

FORMCHECKBOX CO-SIGNER

FORMCHECKBOX ADD CARDHOLDERAccount #Limit

VISACLSS 7-10

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