NAT – Non-unit purchase card form Provincial Council(Required)NationalAlberta Council (incl. NWT and Yukon)British Columbia CouncilManitoba CouncilNewfoundland and Labrador CouncilNew Brunswick Council (incl. PEI)Nova Scotia CouncilOntario Council (incl. NV)Quebec CouncilSaskatchewan CouncilSelect Type Area Commissioner/ACL Senior Provincial Volunteer Event/Training Employee - Property Employee - Camp Program Staff Employee - Provincial Council Employee - National Camp/Property volunteer team Other Administrative community(Required)N/AProvincial1345689101314151617181921222324252728293031323435363738404199BC Area(Required)NoneFraser SkiesKootenayLionsLougheedMonasheeNorth StarPacific ShoresRivers NorthSouthern Vancouver IslandThompson NicolaWest CoastANY Area(Required)None/National CouncilAurora AdventuresCalgary AreaChinook AreaCypress Hills AreaEdmonton AreaParkland AreaPeace River AreaPrairie Rose AreaTamarac AreaWoodsmoke AreaSK Area(Required)NoneBridging RiversSouthern HorizonsMB Area(Required)NoneCambrianCrocus WestGrand PinesIntermountainLagimodierePrairie ValleyNB Area(Required)NoneCoastal ShoreKennebecasisMawiwPrince Edward IslandTidewaterWaters EdgeNS Area(Required)NoneCeilidhDartmouth ShoreHarboursideHarvest TrailMaplewoodTri-WatersNL Area(Required)NoneCon Ba SuEastern BaysLong Range TrailsNorthern MosaicOcean's EdgeTrefoil CentralTuckamorePosition(Required) Name of event/training(Required) Name of camp/property(Required) Department(Required) Other - please describe(Required) Cardholder Name(Required) First Last iMIS number Requested credit limit (if known)Requested GL account (if known) Address(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Daytime Phone Number(Required)Email(Required) Enter Email Confirm Email Employee Agreement(Required) I agreeI understand that the VISA Purchase Card is to be used for expenses in relation to the above stated position. I am responsible for retaining all purchase card receipts and completing and submitting the monthly Purchase Card Transactions Record along with itemized receipts within five business days of receipt. In the event that the card is lost or stolen, I will immediately notify US Bank Canada at 1-800-588-8067 and the Purchase Card Administrator at marisalf@girlguides.ca Misuse of the card or repeated violations of Nationwide Finance policies may result in the suspension or cancellation of my card, and or other disciplinary action up to and including termination for cause. If there are any outstanding unauthorized expenses on my corporate card when my employment ends for whatever reason, I hereby authorize Girl Guides of Canada-Guides du Canada to deduct the outstanding balance from any wages, termination pay and/or severance pay owing to me. The following are examples of misuse and policy violations: Purchase of items or services for personal use Purchase of items or services over and above the limitations set by your Manager and GGC Use of the card by anyone other than the authorized cardholder Failure to retain receipts and to submit them along with the Transactions Records on a monthly basis I agree to the terms above and I certify that the information I provided is current and accurate. Je comprends que la carte d'achat VISA doit être utilisée pour les dépenses liées au poste susmentionné. Il m'incombe de conserver tous les reçus en lien avec la carte d'approvisionnement, de remplir et de soumettre la Liste mensuelle des transactions par carte d'achat, accompagnée des reçus détaillés, dans les cinq jours ouvrables suivant la réception du document. En cas de perte ou de vol de la carte, j'en aviserai immédiatement US Bank Canada au 1 800 588-8067 et l'administratrice de la carte d'approvisionnement à marisalf@girlguides.ca. Une utilisation abusive de la carte ou des violations répétées des politiques nationales des GdC en matière de gestion des finances peuvent entraîner la suspension ou l'annulation de ma carte, ainsi que d'autres mesures disciplinaires pouvant aller jusqu'au licenciement motivé. S'il y a des dépenses non autorisées et non réglées sur ma carte d’approvisionnement au moment où mon emploi prendra fin pour quelque raison que ce soit, j'autorise par la présente les Guides du Canada–Guides du Canada à déduire le solde non réglé de tout salaire, ou de toute indemnité de cessation d’emploi ou indemnité de départ qui m'est dû. Voici des exemples d’utilisation abusive et de non-respect des politiques : Achat de biens ou de services destinés à des fins personnelles Achat de biens ou de services dont le prix excède les limites établies par votre responsable et les GdC Utilisation de la carte par une personne autre que la titulaire autorisée Le fait de ne pas conserver les reçus et de ne pas les soumettre avec les Listes des transactions sur une base mensuelle J’accepte les conditions susmentionnées et je certifie que les renseignements que j’ai fournis sont à jour et exacts.Cardholder Certification(Required) I agreeI understand that the VISA Purchase Card is to be used for expenses in relation to the above stated position. I am responsible for retaining all purchase card receipts and completing and submitting the monthly Purchase Card Transactions Record along with itemized receipts within five business days of receipt. In the event that the card is lost or stolen, I will immediately notify US Bank Canada at 1-800-588-8067 and the Purchase Card Administrator at marisalf@girlguides.ca.CAPTCHAIf a CAPTCHA error occurs, try opening the form in a Private Browsing or Incognito Tab. You can also try clearing your browser cache (cookies). We recommend completing our forms on a desktop computer, using Chrome or Firefox.