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Utah State University Information Technology

New E-Commerce Request

*First Name:
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*Last Name:
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*Phone:
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*Email:
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*Department Name:
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*Deposit-Banner Index:
This is the account index you want your revenue to be placed in.
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*Deposit-Banner Account Code:
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*Billing-Banner Index :
This is the account that will be billed each month for the Ecommerce service.
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Payment Type:
Which payment type(s) do you want to accept on your website? Please select at least one.
User Name:
Only enter this if you will be accepting USU Purchase Cards. It will be used for your login to the Blackboard E-Commerce website.
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Email:
Only enter this if you will be accepting USU Purchase Cards. This is where the Blackboard Daily Transaction Reports will be sent.
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College Name:
Only enter this if you will be accepting USU Purchase Cards.
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Additional Comments:
If you have anything to add to the above information, you may enter it here.
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*Validation :

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Utah State University Information Technology