Purchasing Card Application Form

Please enter the information below, then select the "Print this Form" button which will print this page which is your Purchasing Card Application Form. Print the form, complete the signatures, and it to RTS, MS#47.

Applicant Signature: ______________________________________________ Date: _____/_____/_____

Print Name: ______________________________________________

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

Hierarchy (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: June 1, 2011

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