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| Requestor Information |
| Name of requestor: |
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| E-mail address of requestor: |
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| BC phone number: |
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| Cardholder Information |
Name of Cardholder: as it should appear on the card |
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Name of Department: as it should appear on the card |
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| Cardholder E-mail Address: |
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| Campus Mailing Address: |
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| Amount of Initial Deposit: |
$ |
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| Chart String Information |
| Dept ID (6 digits): |
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| Fund Code (3 digits): |
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| Fund Source (5 digits): |
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| Program (5 digits): |
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| Function (3 digits): |
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| Property (5 digits): |
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| Miscellaneous |
This card is intended for: Please check all that apply |
use in the Dining Halls Eagle Express On-line Orders/Webfood use in the Bookstore use in the vending machines use at off-campus locations
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| Questions or Comments: |
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| Card Holder Agreement |
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I understand that Departmental Plans, funded from operational budgets, are intended for business use in the same year as the budget year from which the funds are accessed. I certify that expenditures from this department plan are for university business purposes and that card balances are not being carried from one year to the next in material dollar amounts. I understand that Department Card transactions are subject to Boston College Internal Audit scrutiny and that abuses can result in the forfeiture of funds on a department plan and reductions in future budget allocations. |
I have read and agree to the terms and conditions stated above.
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