Travel Cardholder Agreement/application - University Travel Card Program
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2APPENDIX N (5-2017)
TRAVEL CARDHOLDER AGREEMENT/APPLICATION
PURDUE UNIVERSITY TRAVEL CARD PROGRAM
Cardholder’s Name__________________________________________________
(Limit 21 characters including spaces)
PUID ________________________________ Purdue E‐mail_______________________________
Campus USPS Address______________________________________________________________
Date of Birth*_________________________ Country of Citizenship _________________________
Campus Phone ________________________ Mother’s Maiden Name*_______________________
*May be used by the bank for over‐the‐phone identification only.
The Purdue University Travel Card is intended to be used for travel related business expenses only. All
purchases with this card must comply with the guidelines in the Purdue University Travel Card Manual, which
may be amended as necessary.
If the card is lost or stolen, the cardholder has the responsibility to notify the Bank immediately, and then their
Business Office, and Purchasing Card Operations.
Failure to adhere to procedures may result in revocation of cardholder privileges.
As holder of this Travel Card, I agree to accept responsibility for the protection and proper use of this card as
detailed above, and in the cardholder manual and the signed Responsibility and Financial Liability Agreement –
Purdue Travel Card.
Cardholder Signature________________________________________________________________________
Approval – Director, and/or Department Head
Spending Limit Tier **
Tier 1
Tier 2
Tier 3
Tier 4
Cardholder’s Org Unit____________________________________
Signature_______________________________________________ Date______________________________
(Business Manager
Return signed application and liability agreement via campus mail to: PCO/PTCA
**Tier 1 = $1
Tier 2 = $5,000
Tier 3 = $10,000
Tier 4 = >$10,000 Based on individual travel history
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