New Account:_____________ Existing Account:_______________
Duke Account Name:_____________Duke Card #:_____________
Org #:________________________Date:_____________
MSC:_________________ Phone:___________________
Individual submitting Request:________________________
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Dining: $________________ Bookstore: $____________________
Printing: $___________________ Mr. Chips: $___________________
Postal: $____________________ U-Rec: $___________________
Submit the deposit form by: Email at cardsrvc@jmu.edu
from F:\APPS\FORMS
Fax 568-1749
MSC 3532
Retain a copy of the deposit form for your records
and auditing purposes.