UNIVERSITY OF WEST GEORGIA
PURCHASING CARD
Cardholder Agreement
The State of Georgia is pleased to present you with this Purchasing Card. It represents trust in you and your empowerment
as a responsible agent to safeguard and protect State of Georgia assets.
I, _____________________________, Employee ID # _____________, hereby acknowledge receipt of a University of West
Georgia Purchasing Card, Card Number XXXX-XXXX-XXXX-________, a VISA
®
card issued by Bank of America, that will only
be used to acquire materials and supplies for the University of West Georgia. I agree to comply with the following terms
and conditions relating to my use of the Purchasing Card.
1. As an authorized cardholder, I agree to comply with the terms and conditions of this Agreement and with the
provisions of the Purchasing Card Policy and Purchasing Card User’s Guide. I have received a copy of the
Purchasing Card Policy and confirm that I have read and understand its terms and conditions. In addition, I have
completed the required Purchasing Card Training.
2. I understand that the University of West Georgia is liable to Bank of America for all charges I make on the
Purchasing Card.
3. I agree to use the Purchasing Card for authorized official business purchases only and agree not to charge personal
purchases. I authorize the University of West Georgia whatever steps are necessary to collect an amount equal
to the total of the improper purchases, including but not limited to declaring such purchases an advance on my
wages to the extent allowed by law.
4. I agree to notify the University of West Georgia’s Purchasing Card Program Administrator at 678-839-5536 or
jlambert@westga.edu if my name or contact information changes. I further acknowledge that name changes will
require proof of change, i.e. copy of marriage license and/or decree of legal change.
5. If the Purchasing Card is lost or stolen, I will immediately notify Bank of America at 1-888-449-2273. I will also
notify the University of West Georgia’s Purchasing Card Program Administrator, in writing, at the first opportunity
during normal business hours.
6. I understand that improper or fraudulent use of the Purchasing Card may result in disciplinary action, up to and
including termination of my employment. I further understand that the University of West Georgia or State
Purchasing may terminate my right to use the Purchasing Card at any time for any reason.
7. I agree to surrender the Purchasing Card immediately upon request or upon termination of employment for any
reason.
Agreed and accepted the date below.
Cardholder:
Signature: __ Date: ____________________
Print Name: ______________________________ ___ Phone: ___________________
Department: _________________________________
University of West Georgia’s Purchasing Card Program Administrator:
Signature: _________________________________ Date: ____________________
Print Name: ______________________________ ___ Phone: ___________________
UNIVERSITY OF WEST GEORGIA
PURCHASING CARD
Cardholder Agreement
The State of Georgia is pleased to present you with this Purchasing Card. It represents trust in you and your empowerment
as a responsible agent to safeguard and protect State of Georgia assets.
I, _____________________________, Employee ID # _____________, hereby acknowledge receipt of a University of West
Georgia Purchasing Card, Card Number XXXX-XXXX-XXXX-________, a VISA
®
card issued by Bank of America, that will only
be used to acquire materials and supplies for the University of West Georgia. I agree to comply with the following terms
and conditions relating to my use of the Purchasing Card.
1. As an authorized cardholder, I agree to comply with the terms and conditions of this Agreement and with the
provisions of the Purchasing Card Policy and Purchasing Card User’s Guide. I have received a copy of the
Purchasing Card Policy and confirm that I have read and understand its terms and conditions. In addition, I have
completed the required Purchasing Card Training.
2. I understand that the University of West Georgia is liable to Bank of America for all charges I make on the
Purchasing Card.
3. I agree to use the Purchasing Card for authorized official business purchases only and agree not to charge personal
purchases. I authorize the University of West Georgia whatever steps are necessary to collect an amount equal
to the total of the improper purchases, including but not limited to declaring such purchases an advance on my
wages to the extent allowed by law.
4. I agree to notify the University of West Georgia’s Purchasing Card Program Administrator at 678-839-5536 or
jlambert@westga.edu if my name or contact information changes. I further acknowledge that name changes will
require proof of change, i.e. copy of marriage license and/or decree of legal change.
5. If the Purchasing Card is lost or stolen, I will immediately notify Bank of America at 1-888-449-2273. I will also
notify the University of West Georgia’s Purchasing Card Program Administrator, in writing, at the first opportunity
during normal business hours.
6. I understand that improper or fraudulent use of the Purchasing Card may result in disciplinary action, up to and
including termination of my employment. I further understand that the University of West Georgia or State
Purchasing may terminate my right to use the Purchasing Card at any time for any reason.
7. I agree to surrender the Purchasing Card immediately upon request or upon termination of employment for any
reason.
Agreed and accepted the date below.
Cardholder:
Signature: __ Date: ____________________
Print Name: ______________________________ ___ Phone: ___________________
Department: _________________________________
University of West Georgia’s Purchasing Card Program Administrator:
Signature: _________________________________ Date: ____________________
Print Name: ______________________________ ___ Phone: ___________________
