Gas Card Request Form for bridges/RCAs

GAS CARD REQUESTS NEED TO BE MADE A MINIMUM OF 48 HOURS IN ADVANCE

Please complete this form if you plan to use a university gas card for an event or program that supports the mission of your organization. After submitting this form, we will notify you that the gas card will be available for pickup at the LEAD Center front desk in 432 Eshleman Hall. We will supply you with the 4-digit pin for each gas card. Please make sure the pin is entered correctly or the card will become locked. If the card is locked, you will need to call the 800 number on the back of the gas card and supply them with the card number and pin to have the card unlocked. You can only purchase gas with these cards. Please return the gas card and all original gas receipts on 8 1/2 x11 paper to the LEAD Center front desk. Thank you!

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