Credit Card Request Form – SSMU Clubs Portal

Full Club Name *

Legal Name of the Credit Card Holder *

First

Last

The Credit Card Holder has to be one Signing Officer for the academic year.

Email Address *

Reason for Credit Card Request *

Please provide an explanation of your intended use for this credit card. List specific planned transactions. Keep in mind that most purchases can be done with ACH Transfers or Cheques. If your reason for your request is not deemed justifiable, you will not be approved for a credit card.

Credit Card Holder's Shipping Address *

Full address, city, country, postal code. This information is required so we can mail you your card.

CLU Number *

If you do not know your CLU#, please check this document containing the most recent list of CLU numbers.

Bank Account Number *

Would you like to receive a credit card for 2024-2025? *

Phone