Instructions for ProCard Application
- Check one box to signify if this is a NEW application, a CHANGE or a request to DELETE/CLOSE an existing account.
- Provide (print) the REQUIRED Card account information requested.
- Cardholder name
- Employee ID#
- Dept ID
- Cardholder email address
- Address: Line 1 - Business address, Line 2 - Department name
- Work phone
- City, State Zip Code
- Default project/grant to be used by cardholder
- Default account# to be used by cardholder (See Account list)
- Printed name and signature of Departmental Director/Dean/or Chair. Enter Date signed.
- Authorized Signature for default project/grant if different from above.
- Cardholder must sign to confirm their information is correct.
Forward completed/signed application to the Purchasing Department, Attn: Karen Schweiger/ProCard Coordinator
(Application may be faxed first and then original forwarded - Fax 562-6290)