Louisiana State University Health Sciences Center
Department of Purchasing and Materials Management

"Making it all possible for you"

LSUHSC-S PROCUREMENT CARDHOLDER APPLICATION
CARDHOLDER INFORMATION
Name:
Email Address: DOB:   Ext:
 
STATEMENT ADDRESS
Name:
Dept    Room Num:
Street Address:
City, State & Zip:

All statements are sent to 1501 Kings Hwy, Shreveport, 71130 unless specified above.
 
ACCOUNT INFORMATION
Chartstring:
Grant: Exp Of Grant:  
Single Transaction Limit: $500 Monthly Limit:
 
ACCESS TO ONLINE CARDHOLDER INFORMATION

 (CHECK BELOW IF YOU'D LIKE TO HAVE ACCESS TO THE FOLLOWING INFORMATION)

Online Statement Access

  Online Maintenance

Submitting this application doesn't guarntee approval for a Procurement Card.

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