Fillable Purchasing Card Request Form Hamilton College PLEASE RETURN (Hamilton College)

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Purchasing Card Request Form Hamilton College PLEASE RETURN (Hamilton College)

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Purchasing Card Request Form
Hamilton College
Purchasing Card Request Form
PLEASE RETURN TO THE BUSINESS OFFICE
_________________________________ OR _____________________________________
Name Department
(Card may be issued in name of employee or department)
Work Phone #: ________________ Cell Phone #: _______________________
Date of Birth: ________________________ Hamilton ID#:____________
(as shown on Hamilton ID card)
Email Address:___________________________
Employee Who Will Be Authorizing Transactions On-line: ___________________________
Cost Center (first 9 digits of account #) expenses will be charged to:
All information needs to be filled out to prevent a delay in processing the card.
I request a Corporate Card for Purchasing issued under Hamilton College’s agreement with
Key Bank. I have read Hamilton College’s Purchasing Card Policy and agree to comply with
the terms and conditions as set out therein. I understand that the card will be revoked if I fail
to comply.
Cardholder Name (printed): __________________________________________________
Cardholder Signature: ______________________________________ Date: _________
Vice President Signature: ___________________________________ Date: _________
PLEASE RETURN TO THE BUSINESS OFFICE
Internal Use Only
Date ordered__________ Last 4 of Card #__________ Credit limit _____________ Proxy______________
Workflow__________________ Approver _____________________Notifications____________________
Received________________________________________________ Date___________________________
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Purchasing Card Request Form Hamilton College PLEASE RETURN (Hamilton College)

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Completed 20 August 2020

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