DEPARTMENT CREDIT CARD (bring with you when picking up your regalia).
**ONE TRANSACTION USE ONLY**
(Please Print)
Date
Name of Cardholder
Credit Card Number Exp. Date
Cardholder's / Department Phone Number
Description of Items:
Cost Not to Exceed:
User's Name Student/Faculty ID Number
User's Signature
Cardholder's Signature
REQUEST WILL ONLY BE PROCESSED WITH SIGNATURES AND DESCRIPTIONS OF ITEMS
BEING PURCHASED.
** USER NEEDS TO SHOW PHOTO ID **