Business Maintenance Form (Non-Profit Request Form only)

(Non-Profit Organization Request Form only)

TO: Card Assets

Fax: 770-805-2173 or

You can scan email your request to:

[email protected]

FROM: Name of Organization: __________________________________________________________________

Contact Email: ___________________________________________________________________________________

Phone Number: ___________________________

Billing Address: Send Card(s) Attention to: ______________________________________________________

RE: Billing/Control account number: _____________________________________________________________

Please check as it applies:

(Please indicate changes in table below)

Additional Cardholder(s)____________ Turn off cash advance option for additional cardholder(s)____________

 Additional Authorized User(s) (no limit increase) _____________Limit increase on existing account(s)___________ 

Decrease limit on existing account(s)______________________

Name change on existing account(s)_____________________________________________________________________________

Close account(s)__________________________________________________________________________________________________

Other: ____________________________________________________________________________________________________________

___________________________________________________________________________________________________________________

***Additional documentation may be requested by the analyst for changes or increases to an account***

Below find the names, signatures and credit limits requested for our company’s business credit cards.

(Please allow 3 to 5 business days to complete your request.) Check box if you’d like card(s) to be rushed. (There will be a $35.00 rush fee accessed to the account(s)).

*The Social Security Number and Birth Date will be used for card activation and OFAC purposes only or verification on the account. It will not be used for obtaining a credit report for the individuals shown above.

AUTHORIZED SIGNER SIGN HERE: I/We submit the above information to establish a business credit card account with Card Assets. I/We certify that the information contained on this request is true and correct to the best of my/our knowledge. I/We certify that I/we are authorized to submit this request on behalf of the business named (“Organization”) and that all information and documentation provided in connection with this request. I/We agree to notify Card Assets promptly of any material change in such information.

*Authorize Signer Name (please print) ___________________________________ Title _________________ *Date (mm/dd/yyyy) ______________

Authorize Signer Signature___________________________________ Title _________________ *Date (mm/dd/yyyy) ______________