Corporate Credit Card Enrollment

Card Requestor: Complete the Personal Information and Cardholder Agreement sections and then select Save and Continue.
Administrator/Business Manager: Review the card requestor's information, complete the Financial section and Submit the form.

Personal Information
A field marked with a red asterisk is required.

Full name*

First Middle initial Last

Cardholder address*

E-mail*

Enter e-mail Confirm e-mail

Phone*

Department*

Cardholder Agreement

APPENDIX II - Cardholder User Agreement*

You are being entrusted with a Wisconsin Evangelical Lutheran Synod commercial credit card, issued by Wells Fargo Bank. The card is provided to you based on your need to operate locally on a daily basis and to purchase materials for Wisconsin Evangelical Lutheran Synod. It is not an entitlement nor reflective of title or position. The card may be revoked at any time without your permission. Your signature below indicates that you have read and will comply with the terms of this agreement.

1. I understand that I will be making financial commitments on behalf of Wisconsin Evangelical Lutheran Synod and will strive to obtain the best value for Wisconsin Evangelical Lutheran Synod.
2. I have read and will follow the Commercial Card Policies and Procedures. Failure to do so could be considered a misappropriation of Wisconsin Evangelical Lutheran Synod funds. Failure to comply with this Agreement may result in either revocation of my use privileges or other corrective action, up to and including termination.
3. I understand that under no circumstances will I use the Commercial Card to make personal purchases, either for myself or for others. Using the card for personal charges could be considered misappropriation of Wisconsin Evangelical Lutheran Synod funds and could result in corrective action, up to and including termination of employment.
4. I agree that should I violate the terms of this Agreement and use the Commercial Card for personal use, Wisconsin Evangelical Lutheran Synod shall have the right to deduct any amounts owed, including but not limited to charges incurred from collection agencies, internal administration costs, court costs, etc, from my paycheck or final paycheck. The laws of the state of Wisconsin shall govern the enforceability of this agreement.
5. The Commercial Card is issued in my name. I will not allow any other person to use the card. I am considered responsible for any and all charges against the card.
6. The Commercial Card is WELS property. As such, I understand that I may be periodically required to comply with internal control procedures designed to protect Wisconsin Evangelical Lutheran Synod assets. This may include being asked to produce the card to validate its existence and account number.
7. If the card is lost or stolen, I will immediately notify Wells Fargo Bank by telephone at 800-932-0036 and the Program Administrator at Wisconsin Evangelical Lutheran Synod.
8. I will receive a monthly statement, which will report all activity during the statement period. Since I am responsible for all charges (but not for payment) on the card, I will reconcile the statement each month, make any coding changes to the expenses if needed, and resolve any discrepancies by either contacting the merchant or Wells Fargo Bank myself.
9. I agree to surrender the Commercial Card immediately upon termination of employment, whether for retirement, voluntary, or involuntary reasons.

I agree to the Terms of this Agreement

Name*

Date*

Data Privacy & Permission*

I AGREE with the terms of the WELS Privacy Policy.

NOTE TO EU RESIDENTS:

By submitting this form you consent to any and all information you provide and submit via the site being sent to the United States of America. The United States has not sought nor received a finding of “adequacy” from the European Union under Article 45 of the GDPR. WELS relies on derogations for specific situations as set forth in Article 49 of the GDPR. You are also informed that the United States presently does not have an adequate level of personal data protection as determined by the European Commission’s adequacy decision on October 6, 2015 (case c-362/14) and articulated in the European Union’s General Data Protection Regulation and has not received a similar designation of adequacy by any other foreign data protection authority. You agree to the transfer of your data and personal data to the United States, however, to be used in accordance with WELS Privacy Policy.

Card Requestor: Proceed to the Save and Continue link at the bottom of this form.

Financial Section
For Administrator/Business Manager ONLY.

Monthly limit*

Select the proper profile*

Standard: primarily used for normal office usage.
Travel: primarily used for travel purposes.
MCG: for use by the Christian Giving Counselors.

General ledger account number*

Entity/Fund	Area of Ministry	Group	Department	Project Number

Monthly statement approver*

Monthly statement reconciler

Administrator/Business Manager authorizing*

Date*

Card Requestor: Select the Save and Continue link.
Administrator/Business Manager: Select the Submit button.