Virtual Credit Card (VCard) Enrollment Form
What is a virtual credit card (Vcard)?
Merchant Name Merchant Code (A Number)
CC Email Address(es) - Email will be copied on any communications sent to the email(s) above
Phone Number Form Submitter Name
Address Form Submitter Signature
City, State, Zip Date
Internal Use Only: VCard Setup (Pull method/Enable single-use accounts)
GXADIRD Setup (RT - 000000000, AT - 123456789)
*A Numbers can be found on purchase orders;
top left following the words "Vendor Number")
*New vendors leave blank
The virtual credit card payment option offers vendors the ability to be securely paid through a one-time use
credit card. Vendors will receive an email remittance advice which contains a link to access the credit card
information. Vendors will process the credit card transaction through their normal credit card processor.
Email Address(es) - Email will receive payment remittance with credit card link. Email will be used as contact for
any payment related questions.
Complete, sign and date. Submit this form via email to GeneralAccounting@aamu.edu