SDOL Account Access and Maintenance for CMU Credit Cards

Central Michigan University
Credit Card Services
204 Warriner Hall
Phone: (989) 774-3481
Fax: (989) 774-1069
Date: 

Use this form to create or modify a Smart Data Online account.  After completing this form, please mail it to 204 Warriner Hall or fax it to (989) 774-1069.  If you have any questions, please call Cindy Smith at (989) 774-7363 or Sara Yonkey (989) 774-3797.

Section I: SDOL Account-Holder Information
First Name:       Last Name:   
Department:
Campus Address:
Phone Number:       Fax Number:
Global ID / Email: @cmich.edu

Section II: Add the Following Credit Card to My Account (cardholder signature required)


I would like access to my own CMU Business Credit Card Account.
My Credit Card Number (Last Four Digits)

OR

I would like access to the following CMU Business Card Account
Cardholder's Name:      Last Name:   
Department:
Campus Address:
Phone Number:       Fax Number:
Global ID / Email: @cmich.edu
  Credit Card Number:  (last four digits)    

 

 ____________________________________________________     ______________
Cardholder Signature                                                                  Date
Section III: Signatures for Approval: 

SDOL Accountholder Name


Dean, Director, Supervisor Name


______________________________________
Signature

______________________________________
Signature


________________
Date

________________
Date