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Get Uri Purchase Card Application

Dg. 75 Lower College Road, Rm 103, Kingston, RI 02881-1966 Fax: 401.874.4825 Email: PCARD etal.uri.edu Applicant/Cardholder Information: First Name: Middle Initial: Email: Business Phone #: ( Department: Date of Birth: Last Name: Employee ID#: ) Country of Citizenship: Mother s Maiden Name: Applicant s Complete Business Mailing Address Building & Room #: Street Address: City: State: Zip: State: Zip: Applicant s Home Address Street Address: City: Department Administrator.

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