SFASU P-CARD PROGRAM
CARDHOLDER APPLICATION/APPROVAL FORM
CARD/CARDHOLDER INFORMATION
Cardholder/Applicant Name:
Cardholder/Applicant Email:
Address to which statement should be mailed
Address Line 1: STEPHEN F. AUSTIN STATE UNIVERSITY
Address Line2:
City, State, Zip Code: Nacogdoches, TX 75962
Cardholder Phone Number:
Last four digits of Social Security#:
CREDIT LIMITS
Per Transaction
$
Per Cycle(Monthly)
$
For additional info regarding credit limits or questions on completing this application contact the P-Card Coordinator, Kyley King.
kingkr1 @sfasu.edu or phone:4353

DEPARTMENT/ACCOUNT INFORMATION
Department Name:
Department Head:
Department Detailer:

Default FOP:
Fund Org Prog

Encumbrance for this account for charges made thru 8/31(leave blank if already created):
DEPARTMENT CONTACT FOR AUDIT/RECONCILIATION
Name:
Phone: Email:
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