Corporate Credit Card Application Form

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Mar 2007 Corporate Credit Card Application Form A Corporate Credit Card is requested for the following staff member: Full Name Username (login/email) Faculty/Division Staff ID Campus (please circle) G Phone GP F M T W Emergency Phone (preferably mobile phone) for ANZ use Signature of Applicant Administration Details The staff member who will be responsible for processing the credit card journals. Full Name Type of computer used (please circle) PC Mac Username Phone The staff member who will be responsible for approving the credit card journals. Full Name Username Phone Account Codes Account codes required for credit card purchases must be consistent with codes in DFMS. Budget Centre Activity Natural Account 6638 Fund Source Entity Credit Card Limits Monthly Credit Limit of: $ Transaction Limit of: $ Approval The Financial Delegations - Enabling Policy requires that business related expenditure incurred by all staff members must be approved by an authorised officer to whom they report with appropriate signing authority, or higher. 1. I approve the issue of a Corporate Credit Card to this staff member 2. I agree that charges for the card will be accepted by this Budget Centre 3. I authorise the listed Corporate Credit Card limits Name of Approver: Signature of Approver: Approval Date / / Send completed Corporate Credit Card Application form & ANZ Cardholder Registration form to: Credit Card Officer, Financial and Business Services, Geelong campus For any queries phone 72684 or email credit-cards@deakin.edu.au

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