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> VISA Pre-Approval Request
VISA Pre-Approval Request
*
denotes required field
This request form is for all purchases with a unit value over $1,000 or for any restricted account code purchases. Every attempt is made to respond to your request in 1 business day. When completing the purchase, please remember the University is tax exempt
Department Name:
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Name:
*
Email:
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Phone:
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Item Description:
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Justification:
Quantity:
1
2
3
4
5
6
7
8
9
10
*
Cost:
*
Supplier Name:
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Supplier URL:
*
Frequency of Use:
CC Card Holder Information
Card Holder Name:
*
CC last 4 digits:
*
Estimated Total Amount w/Shipping:
*
CU-URLcapture