Credit Cards
Secure Application

Citi PremierSM Card

Tell Us About Yourself

(All fields are required unless specified optional)

Date of Birth

Please provide at least one phone number.

$
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I have the following accounts (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.

Date of Birth

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(including information about rates and fees)

To request a paper, large font or Braille copy of any of these documents, call us at 1-888-201-4523 (TTY for hearing / speech impaired (1-800-325-2865)) and we will mail them to you at no charge.

Note: You must check the box before submitting the application.