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
$
e
500
1,000
1,500
2,000
Per Cycle(Monthly)
$
e
1,000
2,000
5,000
10,000
15,000
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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