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University of Dayton
Pcard Cardholder Account Maintenance Request
Appendix C
Effective: 9/20/02
Cardholder Name: _____________________________________________________
Card Number: ________________________ Date:___________________
Type of Request:
Cancel Card
Default Account Code Change
Department Change **
Single Transaction Limit Change
Spending Limit Per Month Change
Number of Purchases Allowed Change
Merchant Blocking Change Please initial to acknowledge that this is an exception to the Policy
and Procedures. ____
Cardholder Name Change *
Campus Address Change
Phone Number Change
Card Administrator Change
Department Contact Change
* Will result in cancellation of card and issuance of a new card with updated information
** Will result in cancellation of card. A new application must be submitted and new card issued.
Explanation of Request:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________
Cardholder signature:____________________________________
Supervisor signature:_____________________________________
Return completed request to the Pcard Program Coordinator at: St. Mary’s 304, +1640
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