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 *

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 2021-2022? *