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Regent University / Purchasing / Costco Wholesale Club Request

Costco Club Card Request

For Regent University staff, faculty and student workers, such as a GA, TA, intern, etc. to request usage of a Costco wholesale club card for Regent University business use only. Student Organizations DO NOT complete this form. The student organizations seeking to use the Costco cards for their events should contact Laura Ivey @ adminservices@regent.edu for further assistance.

all fields marked with an * are required

Your First & Last Name:^* Required
Email Address:^* Required
Phone:^* Required
Your School/Dept./Center OR Student Organization:^* Required

Your 4 digit Cost Code Number:^* Required

Account Code:^* Required

(Activity Code, if needed):

Maximum dollar amount you plan to spend:^* Required

Name of budget manager with cost code approving authority:^* Required

Must include the budget manager's email address here:^*
(They will receive an emailed copy of this request) Required

Date desired:^* Required
Name of event these items will be purchased for:^* Required

Reason for Purchase: