UNIVERSITY OF PITTSBURGH \ FORM INSTRUCTION GUIDE



FORM TITLE:         COMMERCIAL ACCOUNT APPLICATION
NUMBER:             FORM 0028 PITT 1122
PROCEDURE:          10-02-11


ENTER THE FOLLOWING INFORMATION WHERE INDICATED:

   1.  Name of organization

   2.  Address of organization. (Number and Street)

   3.  Address of organization. (Apartment number and other
       addess information

   4.  Purchase Order Number. (Where applicable)  Attach if
       available

   5.  Maximum amount of expense

   6.  Federal Tax Exempt Number

   7.  Name of requestor.  (Last, First, Middle Initial - Limit
       to 39 characters)

   8.  Telephone number, including area code (3), telephone
       number (7), and extension if applicable.  (AAA-NNN-NNNN)

   9.  Signature of requestor

  10.  Date of signature

_
PROGRAMMING INFORMATION

  11.  Programmer's name.  (Last, First, Middle Initial -limit to
       39 characters)

  12.  University Personal Reference (PR) Number. (PNNNNNNNNN)
       Located on the reverse side of the University ID Card

  13.  Campus Address (Refer to SPI 9 for information)

  14.  Campus telephone number, including (where applicable) area
       code (3), telephone number (7), and extension (4). (AAA-
       NNN-NNNN-XXXX)

  15.  Electronic Mail Address (EMail), i.e., your VAX/VMS
       Cluster Username

  16.  Address - Number and Street

  17.  Address - Apartment Number and other address information

  18.  Signature of Programmer

  19.  Date of signature

_
COMPUTING AND INFORMATION SYSTEMS INFORMATION

  20.  Signature of CIS Associate Director, Academic Computing

  21.  Date of signature

  22.  Signature of Executive Director or Business Manager

  23.  Date of signature

  24.  Confirming signature

  25.  Date of signature

  26.  Assigned CAP Logname