Request to Increase Copy Card Value

You can not submit this form electronically. Fill in each blank on-line, print it out, obtain an authorization signature, and mail or fax (704-687-3666) the form to the Copier Office. Do not send cards.

1. List the number on the front of the card. 2. If you are requesting a new card, please write new next to the box for card number. There is no   charge for new Administrative Copy   Cards. 3. Fill in the # of copies you want to add to each card 4. Funds will be deposited into the copier account unless you indicate the funds should be deposited into   the print lab account.

Card Number       Copies to Add                  For

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Special Instructions:

Authorization Signature _______________________ Date ____________

This is not an invoice. This information will be used to generate an invoice to be sent to Accounts Payable for billing purposes. A copy of the invoice will be mailed to you.