Purchasing Card Account Allocation Form

Please enter the information below to request the ability to allocate MasterCard charges on-line to account numbers. Select the "Print this Form" button which will print this page which is your Account Allocation form. Print the request, complete the signatures, and send the form to RTS at MS#47.

Applicant Signature: ______________________________________________ Date: _____/_____/_____

Print Name: ____________________________________

Cost Ctr./Dept
Admin Signature: _________________________________________________ Date: _____/_____/_____

Hierachy (RTS use only): ______________________________________

MS#47 • Woods Hole, MA 02543 • 508.289.2485 • Fax 508.457.2102
Please send authorized Purchasing Card application and Account Allocation forms together to MS#47.

Last updated: April 1, 2013

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