8/2/2019 Cost Cod is Count 1211

1/2

ri a$20Cc Ca Cawn you join a anw exuti Mmb.AwAreness Code: 62000CostCo CAsh CArd ACtivAtion: 335973

Orri a $10Cc Ca Cawn you join a a

nw Gold sta Mmb.AwAreness Code: 62000CostCo CAsh CArd ACtivAtion: 321342

Oer is only valid t hrough March 31, 2012, when youjoin in person with a Costco representative. Valid onlyor new members or their frst year o membership.Limit one Costco Cash Card oer per household. Oeris nontranserable and may not be combined with anyother oer or coupon.

A Gold Star Membership is $55 a year. An ExecutiveMembership is an additional $55 upgrade fee a year.Each membership includes a free Household Card.

Costco accepts cash, checks, debit/ATM cards, EBT,Costco Cash Cards, Costco Credit Cards and AmericanExpress. Departments, products and services mayvary by location.

ri a$20Cc Ca Cawn you join a anw exuti MmAwAreness Code: 62000CostCo CAsh CArd ACtivAtio

Orri a $10Cc Ca Cawn you join a a

nw Buin MmAwAreness Code: 62000CostCo CAsh CArd ACtivAtio

Oer is only valid through March 31, 2join in person with a Costco representor new members or their frst year Limit one Costco Cash Card oer per his nontranserable and may not be comother oer or coupon.

A Business Membership is $55 a yeMembership is an additional $55 upgEach membership includes a free Hous

Costco accepts cash, checks, debit/ACostco Cash Cards, Costco Credit CardExpress. Departments, products andvary by location.

sAY Yes TO sAvINGs.coto mmb njoy low waou pion band-nam podut, bakd by ou 100%atiation guaant.

houold itm Optial

eltoni Ga tation

Goi Pamay

Appal and mo

chOOse YOUr MeMBershIP LeveL

excu Mmbp:

Fatu an annual 2% rwad(up to $750) on qualifd cotopua. Tm and ondition apply.s t mmbip ount o dtail.

Gl sa Mmbp:eyting coto a to o,witout t 2% rwad.

cOsTcO FOr BUsINessrun you buin o l wit all t podut yound at ou yday low pi, bakd by ou100% atiation guaant. Plu, k out cotosi dignd to a you buin mony.

eltoni Bak oom uppli

Of uppli Ga tation

Itm o al claning podut

chOOse YOUr MeMBershIP LeveL

excu Mmbp:

Fatu an annual 2% rwad(up to $750) on qualifd cotopua. Tm and ondition apply. s tmmbip ount o dtail.

Bu Mmbp:eyting coto a to o,witout t 2% rwad.

8/2/2019 Cost Cod is Count 1211

2/2

AURORA VILLAGE

1175 N. 205th St.Seattle, WA 98133

200TH ST

AURORAAVEN/HIGHWAY99

205TH

ST

MOUNTLAKE TERRACEEDMONDS FERRY EXITAURORA

VILLAGECOSTCO

99 5

SR-104

EXIT177

Shop withcomplete confidence.Youll appreciate the quality andvalue of the products you findat Costco. Thats our promiseto you. If we fail to deliver onthat promise, well refund yourmoney. Its that simple.

Costco accepts cash, checks, EBT,debit/ATM cards, Costco CashCards, Costco Credit Cards andAmerican Express.Product selection may vary.

F ME IFMATI ABT CSTC, CTACT:

CC Gld ar & ExECuvE mEmbErhp applCanawarEnE CdE: 62000 Me Mb e r s h u Mb e r

Please include sales tax in AZ, HI, NJ, NM, NY, UT, WI, plus all other applicable states. Fees are subject to change.ExEcvE mEmbEs with an annual 2% eward (up to $500) on ot coto purhaeis a $50 membership fee a year plus an additional $50 upgrade fee a year. Limit one Executive Membership per household or business. See the membership counter for detaiG s mEmbEsis $50 a year.YEs! want to learn ore aout the rueEarning card fro coto and erian Epre. See the membership counter for details.

DaOFBIRH LasNam LgaLFIRsNam

Jr sr II OthermI NIckNam(NamOpRINONmmBRsHIpcaRD) NamsuFFIx(OpIONaL)

HOmmaILINgaDDRss cIy sa zIp cOuNRy (aRacOD)HOmpHON

-maILaDDRssReeieeilofferfrocoto.o. DRIvRsLIcNsNumBR * sa

Free HouseHold Card (optional)A Household Card is available to a Primary Cardholders spouse, domestic partner or immediate family member over the age of 18 and livingat the same address. Household Cardholders will be asked to present proof that they live at the same address as the Primary Cardholder.

DaOFBIRH LasNam LgaLFIRsNam

Jr sr II OthermI NIckNam(NamOpRINONmmBRsHIpcaRD) NamsuFFIx(OpIONaL)

DRIvRsLIcNsNumBR* sa

save time and postage Check here to automatically renew your annual membership on your American Express Card. Costco may receive updated card account informationAmerican Express if you have chosen to have your new Costco annual membership fee automatically billed to your card account.

Costco is cotiy eeoig e ecitig ogs seices t sstti sigs fo o ees.Ceck ere if you do not want your name, postal address, e-mail address, and membersip number and status sared wit carefully selected partners so tey may qualify you for tese offerinCeck ere if you do not want your houseold Cardolders information sared as well.*Your drivers license number is not mandatory to gain membership at Costco, but if you plan to write checks at Costco, we do need your driv ers license number. note: Completion of this application constitutes acceptance of Costcos Privileges and Conditions of Membership, including our privacy policies and practices, which are available at the membership cou

or online at Costco.com. Please provide your Household Cardholder or any additional cardholders with this information. ree poicy Memberships renewed within 2 months after expiration of the

current membership year will be extended for 12 months from the expiration date. Memberships renewed more than 2 months after such expiration will be extended for 12 months from the renewal date

mmBRssIgNauR(reqired) Da 3/09_

youre invited to join!

11C0614 2/11

Patricia Frempong * E-mail: w187mkt@Costco.com* (404)664-4444

85

23

GWINNETTCOSTCO

PLE

ASANTHILL

RD

VEN

TURE

DR

STEVEREYNOLDS

GWINNETT

3980 Venture DriveDuluth, GA 30096

WLIDDEL

LRD

SATELLITE

BLVD

12C0133_A

CostCo Gold star & ExECutivE mEmbErship appliCationawarEnEss CodE: 62000 Me Mb e r s h ip n u Mb e r

Please include sales tax in AZ, HI, NJ, NM, NY, UT, WI, plus all other applicable states. Fees are subject to change.ExEcutivE mEmbErshipwith a 2% Reward (up to $750) on most Costco purchases is $55 a year plus an additional $55 upgrade fee a year. Limit one Executive Membership per household or business. Gold star mEmbErshipis $55 a year.YEs! i wn en e te teEnng c f c n aen Ee. See the membership counter for details.

Date OF BIRtH Last Name LegaL FIRst Name

Jr sr II OhrmI NIckName (Name tO pRINt ON memBeRsHIp caRD) Name suFFIx (OptIONaL)

HOme maILINg aDDRess cIty state zIp cOuNtRy (aRea cODe) HOme pHONe

emaIL aDDRess Ri il offr fro coo.o. DRIveRs LIceNse NumBeR* state

Free HouseHold Card (otoal)A Household Card is available to a Primary Cardholders spouse, domestic partner or immediate family member over the age of 18 and livinat the same address. Household Cardholders will be asked to present proof that they live at the same address as the Primary Cardholder.

Date OF BIRtH Last Name LegaL FIRst Name

Jr sr II OhrmI NIckName (Name tO pRINt ON memBeRsHIp caRD) Name suFFIx (OptIONaL)

DRIveRs LIceNse NumBeR* state

save time and postage Check here to automatically renew your annual membership on your American Express Card. Costco may receive updated card account information fAmerican Express if you have chosen to have your new Costco annual membership fee automatically billed to your card account.

Cc cy eeg e ecg g ece g f ee.Ceck ere if you do not want your name, postal address, email address, and membersip number and status sared wit carefully selected partners so tey may qualify you for tese offerinCeck ere if you do not want your houseold Cardolders information sared as well.*Your drivers license number is not mandatory to gain membership at Costco, but if you plan to write checks at Costco, we do need your drivers license number.

ne: Completion of this application constitutes acceptance of Costcos Privileges and Conditions of Membership, including our privacy policies and practices, which are available at the membership counor online at Costco.com. Please provide your Household Cardholder or any additional cardholders with this information. ree pcy Memberships renewed within 2 months after expiration of thecurrent membership year will be extended for 12 months from the expiration date. Memberships renewed more than 2 months after such expiration will be extended for 12 months from the renewal date.

memBeRs sIgNatuRe (rqird) Date 11/1/11 _b