Section IIa: 5. Applicant Address Details (required): |
(continued) |
• Primary Address (required): Indicate the address to which the billing statements should be mailed |
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(includes Street, City or APO/FPO/DPO, State/Province, Zip/Postal Code). Address must be U.S., |
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U.S. territory, APO/FPO/DPO. Application will be rejected if the address is outside of the card |
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issuing country. This is also the address the card will be mailed to unless an Alternate Address is |
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provided and the Ship Card to Alternate Address box is marked. If a P.O. Box is provided as the |
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Primary Address, a Home/Physical Address must also be provided. |
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Note: If indicating APO/FPO/DPO address, enter APO, FPO, or DPO in “City” feld; AE, etc. |
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in “State” feld. |
•Expedited Card Delivery: Indicate whether the card should be mailed within 2-3 business days.
A physical address must be provided for expedited card delivery. Please note: for expedited cards, a signature is required at time of delivery.
•Mail to Attention: Indicate the name of the individual to whom the new card should be mailed.
•Home/Physical Address: Complete this section if a P.O. Box is being provided as the Primary Address.
•Alternate Address: Complete this section if the card is being sent to an alternate address.
6.Applicant Contact Details:
•E-mail Address (required): Indicate the e-mail address of the individual applying for the card.
•Business Offce and/or Home Phone (required): Indicate the business and/or home phone numbers (including area code) of the individual applying for the card. For locations outside of the U.S., include the applicable two-to-three digit country code. Note: an international access code, such as “011,” is not required.
•Cell phone number: Indicate the cell phone number (including area code) of the individual applying for the card. For locations outside of the U.S., include the applicable two-to-three digit country code. Note: an international access code, such as “011,” is not required. If you provide or have provided us with a mobile number or number later converted to a mobile number, you agree that Citibank or our service providers may contact you at that number about your Commercial Card account. This consent allows us to use text messages, automated voice messages and automated dialing technology for informational and account service calls but not telemarketing calls. Message and data rates may apply. Opt out at any time by sending an email to optoutcellconsent@citi.com
7.Employee ID: Enter the 10-digit ID number as it appears on the back of your CAC card.
Section IIb: 8. Mobile Phone Consent 9. Paper-Free Option
(This section to be completed by Department of Defense Employee)
Check the box if you wish to receive statements and notices electronically on the CitiManager web site and to receive e-mail alerts of statements and notices. To do so, you will need to register for CitiManager at www.citimanager.com/login.
10.Ohio Residents
11.New York Residents
Section III: Cardholder Signature & Agreement
(This section to be completed by Department of Defense Employee)
12.Applicant’s Signature (required): The applicant’s signature. Wet or Digital signature accepted.
13.Date (required): Enter the date the applicant signed the application.
14.Credit Score Authorization (required): Applicant reads options A and B and places frst and last initials next to the option they agree to. Option A is a soft credit inquiry.
15.Approving Supervisor’s Signature (required): Signature of supervisor approving application. Wet or Digital signature accepted.
16.Date (required): Enter the date the supervisor signed the application.
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