Instructions for Completing
JMU Payment Card Change Request
Contact Name: Person making the request
Date: Current date
Office or Department: Department making the request
Phone: Phone number of the person making the request
Email: JMU email address of the person making the request
Fax: Fax number of the person making the request
- Provide a description of the current business activity for which you would like to change or provide a description of the additional activity that you are requesting.
- Provide an outline of the activity request by describing how the change supports business strategy, plans or programs.
- Check the additional box if the request involves an additional (new) merchant account. Check existing and provide the number if the request does not involve additional (new) merchant numbers.
- Provide a description of the payment system involved. Provide the payment card terminal name and model number and for web-based payment systems provide the software name and version.
Obtain all the appropriate signatures.