PROCARD AND PIZZA CARD
This form is to reserve the Procard or Pizza Card. Please complete the following information
and return it with the Request for Funds form. You will be notified by phone if there are any
problems with your reservation.
Which card are you requesting? Procard Pizza Card
Name: Building/Room: Phone:
Area: Select One HC’s Name:
How long will you need the card?
When would you like to check out the card?
Date for check-out: Time:
Date for return: Time:
NOTE: These cards can only be checked out from the Area Administrative Assistant’s Office,
which is open Monday-Friday 8am – 5pm. The person who checks out the card is the ONLY
person authorized to use it.