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Payment Card Change Request

Instructions

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.




Mission

We are committed to quality customer service in order to prepare students to be financially responsible, to provide support and payment options for their families, and to protect the assets of the university with accurate and timely financial procedures.