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After completing this form, please mail it to 204 Warriner Hall or fax it to Cindy Smith or Sara Yonkey at (989) 774-1069.
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Section I: Cardholder Information | |
| First Name: | Last Name: |
| Campus Phone: | Campus Fax: |
| Global ID / Email:  | @cmich.edu |
| Section II: Accounting Information | |
| Current Cost Center/WBS/Grant: | Current GL: |
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New Cost Center/WBS/Grant : | New GL: |
| *If using a Grant/WBS Element: | Date Grant Expires: |
| Backup Cost Center: | |
| **The backup cost center will be used if there are problems with the grant account or there are charges after the grant has expired. | |
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Date accounting changes are effective: (please do not back date)
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| Section III: Please enter the Credit Card affected by the above change | |
CMU Card Number: |
(last four digits) |
Signature: __________________________ Date: ___________________
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| Section IV: Submitted By / Contact Person | |
| First Name : | Last Name: |
| Campus Phone: | Campus Fax: |
| Campus Email: @cmich.edu | |
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Submitted By: __________________________ Date: ___________________ |
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