{"id":4361,"date":"2021-05-18T14:05:19","date_gmt":"2021-05-18T18:05:19","guid":{"rendered":"https:\/\/can.girlguides.ca\/?page_id=4361"},"modified":"2023-11-01T15:55:31","modified_gmt":"2023-11-01T19:55:31","slug":"nat-non-unit-purchase-card-form","status":"publish","type":"page","link":"https:\/\/can.girlguides.ca\/index.php\/nat-non-unit-purchase-card-form\/","title":{"rendered":"NAT &#8211; Non-unit purchase card form"},"content":{"rendered":"\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_403' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_403'  action='\/index.php\/wp-json\/wp\/v2\/pages\/4361' data-formid='403' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_403' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_403_1\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br><br><hr><\/div><fieldset id=\"field_403_32\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Please select the position you want to hold<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_403_32'>\n\t\t\t<div class='gchoice gchoice_403_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Purchase Card Holder (Visa)'  id='choice_403_32_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_403_32_0' id='label_403_32_0' class='gform-field-label gform-field-label--type-inline'>Purchase Card Holder (Visa)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_403_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Purchase Card Holder (MasterCard)'  id='choice_403_32_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_403_32_1' id='label_403_32_1' class='gform-field-label gform-field-label--type-inline'>Purchase Card Holder (MasterCard)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_403_33\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Type of change<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_403_33'>\n\t\t\t<div class='gchoice gchoice_403_33_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='New'  id='choice_403_33_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_403_33_0' id='label_403_33_0' class='gform-field-label gform-field-label--type-inline'>New<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_403_33_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Cancel'  id='choice_403_33_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_403_33_1' id='label_403_33_1' class='gform-field-label gform-field-label--type-inline'>Cancel<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_403_34\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Type of change<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_403_34'>\n\t\t\t<div class='gchoice gchoice_403_34_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='New'  id='choice_403_34_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_403_34_0' id='label_403_34_0' class='gform-field-label gform-field-label--type-inline'>New<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_403_34_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='Switch from VISA to MasterCard'  id='choice_403_34_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_403_34_1' id='label_403_34_1' class='gform-field-label gform-field-label--type-inline'>Switch from VISA to MasterCard<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_403_34_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='Cancel'  id='choice_403_34_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_403_34_2' id='label_403_34_2' class='gform-field-label gform-field-label--type-inline'>Cancel<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_403_2\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_403_2'>Provincial Council<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_2' id='input_403_2' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='National' >National<\/option><option value='Alberta Council (incl. NWT and Yukon)' >Alberta Council (incl. NWT and Yukon)<\/option><option value='British Columbia Council' >British Columbia Council<\/option><option value='Manitoba Council' >Manitoba Council<\/option><option value='Newfoundland and Labrador Council' >Newfoundland and Labrador Council<\/option><option value='New Brunswick Council (incl. PEI)' >New Brunswick Council (incl. PEI)<\/option><option value='Nova Scotia Council' >Nova Scotia Council<\/option><option value='Ontario Council (incl. NV)' >Ontario Council (incl. NV)<\/option><option value='Quebec Council' >Quebec Council<\/option><option value='Saskatchewan Council' >Saskatchewan Council<\/option><\/select><\/div><\/div><fieldset id=\"field_403_3\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Select Type<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_403_3'>\n\t\t\t<div class='gchoice gchoice_403_3_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='Area Commissioner\/ACL'  id='choice_403_3_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_403_3_0' id='label_403_3_0' class='gform-field-label gform-field-label--type-inline'>Area Commissioner\/ACL<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_403_3_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='Senior Provincial Volunteer'  id='choice_403_3_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_403_3_1' id='label_403_3_1' class='gform-field-label gform-field-label--type-inline'>Senior Provincial Volunteer<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_403_3_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='Event\/Training'  id='choice_403_3_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_403_3_2' id='label_403_3_2' class='gform-field-label gform-field-label--type-inline'>Event\/Training<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_403_3_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='Employee - Property'  id='choice_403_3_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_403_3_3' id='label_403_3_3' class='gform-field-label gform-field-label--type-inline'>Employee - Property<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_403_3_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='Employee - Camp Program Staff'  id='choice_403_3_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_403_3_4' id='label_403_3_4' class='gform-field-label gform-field-label--type-inline'>Employee - Camp Program Staff<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_403_3_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='Employee - Provincial Council'  id='choice_403_3_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_403_3_5' id='label_403_3_5' class='gform-field-label gform-field-label--type-inline'>Employee - Provincial Council<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_403_3_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='Employee - National'  id='choice_403_3_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_403_3_6' id='label_403_3_6' class='gform-field-label gform-field-label--type-inline'>Employee - National<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_403_3_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='Camp\/Property volunteer team'  id='choice_403_3_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_403_3_7' id='label_403_3_7' class='gform-field-label gform-field-label--type-inline'>Camp\/Property volunteer team<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_403_3_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='Other'  id='choice_403_3_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_403_3_8' id='label_403_3_8' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_403_4\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_403_4'>Administrative community<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_4' id='input_403_4' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='N\/A' >N\/A<\/option><option value='Provincial' >Provincial<\/option><option value='1' >1<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><option value='32' >32<\/option><option value='34' >34<\/option><option value='35' >35<\/option><option value='36' >36<\/option><option value='37' >37<\/option><option value='38' >38<\/option><option value='40' >40<\/option><option value='41' >41<\/option><option value='99' >99<\/option><\/select><\/div><\/div><div id=\"field_403_5\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_403_5'>BC Area<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_5' id='input_403_5' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Fraser Skies' >Fraser Skies<\/option><option value='Kootenay' >Kootenay<\/option><option value='Lions' >Lions<\/option><option value='Lougheed' >Lougheed<\/option><option value='Monashee' >Monashee<\/option><option value='North Star' >North Star<\/option><option value='Pacific Shores' >Pacific Shores<\/option><option value='Rivers North' >Rivers North<\/option><option value='Southern Vancouver Island' >Southern Vancouver Island<\/option><option value='Thompson Nicola' >Thompson Nicola<\/option><option value='West Coast' >West Coast<\/option><\/select><\/div><\/div><div id=\"field_403_6\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_403_6'>ANY Area<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_403_6' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None\/National Council' >None\/National Council<\/option><option value='Aurora Adventures' >Aurora Adventures<\/option><option value='Calgary Area' >Calgary Area<\/option><option value='Chinook Area' >Chinook Area<\/option><option value='Cypress Hills Area' >Cypress Hills Area<\/option><option value='Edmonton Area' >Edmonton Area<\/option><option value='Parkland Area' >Parkland Area<\/option><option value='Peace River Area' >Peace River Area<\/option><option value='Prairie Rose Area' >Prairie Rose Area<\/option><option value='Tamarac Area' >Tamarac Area<\/option><option value='Woodsmoke Area' >Woodsmoke Area<\/option><\/select><\/div><\/div><div id=\"field_403_7\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_403_7'>SK Area<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_403_7' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Bridging Rivers' >Bridging Rivers<\/option><option value='Southern Horizons' >Southern Horizons<\/option><\/select><\/div><\/div><div id=\"field_403_8\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_403_8'>MB Area<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_403_8' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Cambrian' >Cambrian<\/option><option value='Crocus West' >Crocus West<\/option><option value='Grand Pines' >Grand Pines<\/option><option value='Intermountain' >Intermountain<\/option><option value='Lagimodiere' >Lagimodiere<\/option><option value='Prairie Valley' >Prairie Valley<\/option><option value='' ><\/option><\/select><\/div><\/div><div id=\"field_403_10\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_403_10'>NB Area<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_403_10' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Coastal Shore' >Coastal Shore<\/option><option value='Kennebecasis' >Kennebecasis<\/option><option value='Mawiw' >Mawiw<\/option><option value='Prince Edward Island' >Prince Edward Island<\/option><option value='Tidewater' >Tidewater<\/option><option value='Waters Edge' >Waters Edge<\/option><\/select><\/div><\/div><div id=\"field_403_12\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_403_12'>NS Area<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_403_12' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Ceilidh' >Ceilidh<\/option><option value='Dartmouth Shore' >Dartmouth Shore<\/option><option value='Harbourside' >Harbourside<\/option><option value='Harvest Trail' >Harvest Trail<\/option><option value='Maplewood' >Maplewood<\/option><option value='Tri-Waters' >Tri-Waters<\/option><\/select><\/div><\/div><div id=\"field_403_11\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_403_11'>NL Area<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_403_11' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >None<\/option><option value='Con Ba Su' >Con Ba Su<\/option><option value='Eastern Bays' >Eastern Bays<\/option><option value='Long Range Trails' >Long Range Trails<\/option><option value='Northern Mosaic' >Northern Mosaic<\/option><option value='Ocean&#039;s Edge' >Ocean&#039;s Edge<\/option><option value='Trefoil Central' >Trefoil Central<\/option><option value='Tuckamore' >Tuckamore<\/option><option value='' ><\/option><\/select><\/div><\/div><div id=\"field_403_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_403_13'>Position<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_403_13' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_403_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_403_14'>Name of event\/training<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_403_14' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_403_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_403_15'>Name of camp\/property<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_403_15' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_403_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_403_18'>Department<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_403_18' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_403_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_403_19'>Other - please describe<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_403_19' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_403_20\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Cardholder Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_403_20'>\n                            \n                            <span id='input_403_20_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_20.3' id='input_403_20_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_403_20_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_403_20_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_20.6' id='input_403_20_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_403_20_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_403_21\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_403_21'>iMIS number<\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_403_21' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_403_31\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_403_31'>Requested credit limit (if known)<\/label><div class='ginput_container ginput_container_number'><input name='input_31' id='input_403_31' type='text' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_403_30\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_403_30'>Requested GL account (if known)<\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_403_30' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_403_22\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_403_22' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_403_22_1_container' >\n                                        <input type='text' name='input_22.1' id='input_403_22_1' value=''    aria-required='true'    \/>\n                                        <label for='input_403_22_1' id='input_403_22_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_403_22_2_container' >\n                                        <input type='text' name='input_22.2' id='input_403_22_2' value=''     aria-required='false'   \/>\n                                        <label for='input_403_22_2' id='input_403_22_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_403_22_3_container' >\n                                    <input type='text' name='input_22.3' id='input_403_22_3' value=''    aria-required='true'    \/>\n                                    <label for='input_403_22_3' id='input_403_22_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_403_22_4_container' >\n                                        <select name='input_22.4' id='input_403_22_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alberta' >Alberta<\/option><option value='British Columbia' >British Columbia<\/option><option value='Manitoba' >Manitoba<\/option><option value='New Brunswick' >New Brunswick<\/option><option value='Newfoundland and Labrador' >Newfoundland and Labrador<\/option><option value='Northwest Territories' >Northwest Territories<\/option><option value='Nova Scotia' >Nova Scotia<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' >Ontario<\/option><option value='Prince Edward Island' >Prince Edward Island<\/option><option value='Quebec' >Quebec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Yukon' >Yukon<\/option><\/select>\n                                        <label for='input_403_22_4' id='input_403_22_4_label' class='gform-field-label gform-field-label--type-sub '>Province<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_403_22_5_container' >\n                                    <input type='text' name='input_22.5' id='input_403_22_5' value=''    aria-required='true'    \/>\n                                    <label for='input_403_22_5' id='input_403_22_5_label' class='gform-field-label gform-field-label--type-sub '>Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_22.6' id='input_403_22_6' value='Canada' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_403_23\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_403_23'>Daytime Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_23' id='input_403_23' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_403_28\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_403_28_container'>\n                                <span id='input_403_28_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_28' id='input_403_28' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_403_28' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_403_28_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_28_2' id='input_403_28_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_403_28_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><fieldset id=\"field_403_24\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Employee Agreement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_24.1' id='input_403_24_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_403_24\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_403_24_1' >I agree<\/label><input type='hidden' name='input_24.2' value='I agree' class='gform_hidden' \/><input type='hidden' name='input_24.3' value='26' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_403_24' tabindex='0'>I understand that the\u00a0VISA\u00a0Purchase Card is to be used for expenses in relation to the above stated position.<br \/>\nI am responsible for retaining all purchase card receipts and completing and submitting the monthly\u00a0Purchase Card Transactions Record\u00a0along with itemized receipts within five business days of receipt.<br \/>\nIn the event that the card is lost or stolen, I will immediately notify\u00a0US Bank Canada\u00a0at 1-800-588-8067 and the\u00a0Purchase Card Administrator\u00a0at marisalf@girlguides.ca<br \/>\nMisuse 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.\u00a0 If there are any outstanding unauthorized expenses \u00a0on 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.\u00a0\u00a0 \u00a0The following are examples of misuse and policy violations:\u00a0<br \/>\nPurchase of items or services for personal use<br \/>\nPurchase of items or services over and above the limitations set by your Manager and GGC<br \/>\nUse of the card by anyone other than the authorized cardholder<br \/>\nFailure to retain receipts and to submit them along with the Transactions Records on a monthly basis<br \/>\nI agree to the terms above and I certify that the information I provided is current and accurate.<br \/>\n<br \/>\nJe comprends que la carte d'achat VISA doit \u00eatre utilis\u00e9e pour les d\u00e9penses li\u00e9es au poste susmentionn\u00e9.<br \/>\n <br \/>\nIl m'incombe de conserver tous les re\u00e7us en lien avec la carte d'approvisionnement, de remplir et de soumettre la Liste mensuelle des transactions par carte d'achat, accompagn\u00e9e des re\u00e7us d\u00e9taill\u00e9s, dans les cinq jours ouvrables suivant la r\u00e9ception du document.<br \/>\n <br \/>\nEn cas de perte ou de vol de la carte, j'en aviserai imm\u00e9diatement US Bank Canada au 1 800 588-8067 et l'administratrice de la carte d'approvisionnement \u00e0 marisalf@girlguides.ca.<br \/>\n <br \/>\nUne utilisation abusive de la carte ou des violations r\u00e9p\u00e9t\u00e9es des politiques nationales des GdC en mati\u00e8re de gestion des finances peuvent entra\u00eener la suspension ou l'annulation de ma carte, ainsi que d'autres mesures disciplinaires pouvant aller jusqu'au licenciement motiv\u00e9.<br \/>\n <br \/>\nS'il y a des d\u00e9penses non autoris\u00e9es et non r\u00e9gl\u00e9es sur ma carte d\u2019approvisionnement au moment o\u00f9 mon emploi prendra fin pour quelque raison que ce soit, j'autorise par la pr\u00e9sente les Guides du Canada\u2013Guides du Canada \u00e0 d\u00e9duire le solde non r\u00e9gl\u00e9 de tout salaire, ou de toute indemnit\u00e9 de cessation d\u2019emploi ou indemnit\u00e9 de d\u00e9part qui m'est d\u00fb. Voici des exemples d\u2019utilisation abusive et de non-respect des politiques :<br \/>\n <br \/>\nAchat de biens ou de services destin\u00e9s \u00e0 des fins personnelles<br \/>\n <br \/>\nAchat de biens ou de services dont le prix exc\u00e8de les limites \u00e9tablies par votre responsable et les GdC<br \/>\n <br \/>\nUtilisation de la carte par une personne autre que la titulaire autoris\u00e9e<br \/>\n <br \/>\nLe fait de ne pas conserver les re\u00e7us et de ne pas les soumettre avec les Listes des transactions sur une base mensuelle<br \/>\n <br \/>\nJ\u2019accepte les conditions susmentionn\u00e9es et je certifie que les renseignements que j\u2019ai fournis sont \u00e0 jour et exacts.<\/div><\/fieldset><fieldset id=\"field_403_25\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Cardholder Certification<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_25.1' id='input_403_25_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_403_25\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_403_25_1' >I agree<\/label><input type='hidden' name='input_25.2' value='I agree' class='gform_hidden' \/><input type='hidden' name='input_25.3' value='26' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_403_25' tabindex='0'>I understand that the\u00a0VISA\u00a0Purchase Card is to be used for expenses in relation to the above stated position.<br \/>\nI am responsible for retaining all purchase card receipts and completing and submitting the monthly\u00a0Purchase Card Transactions Record\u00a0along with\u00a0 itemized receipts within five business days of receipt.<br \/>\nIn the event that the card is lost or stolen, I will immediately notify\u00a0US Bank Canada\u00a0at 1-800-588-8067 and the\u00a0Purchase Card Administrator\u00a0at marisalf@girlguides.ca.<\/div><\/fieldset><div id=\"field_403_26\" class=\"gfield gfield--type-captcha gfield--input-type-captcha field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_403_26'>CAPTCHA<\/label><div id='input_403_26' class='ginput_container ginput_recaptcha' data-sitekey='6LdnuNsZAAAAACyEKcpogIN9z6njyqSHWAZ0gLki'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><div class='gfield_description' id='gfield_description_403_26'>If a CAPTCHA error occurs, try opening the form in a Private Browsing or Incognito Tab. You can also try <a href=\"http:\/\/www.refreshyourcache.com\/en\/home\/\" target=\"_blank\" rel=\"noopener\">clearing your browser cache<\/a> (cookies). We recommend completing our forms on a desktop computer, using Chrome or Firefox.<\/div><\/div><div id=\"field_403_27\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><style>\n    #masthead, .site-header, .entry-title, .entry-header{\n                display: none !important;\n    }\n                .entry-content{\n                                margin: 0px !important;\n                \n                }\n                .site-content{\n                                padding: 0px !important;\n                }\n                .site {\n                margin: 0px;\n                }\n.gform_wrapper li.gfield.gf_list_2col ul.gfield_checkbox li label, .gform_wrapper li.gfield.gf_list_2col ul.gfield_radio li label, .gform_wrapper li.gfield.gf_list_3col ul.gfield_checkbox li label, .gform_wrapper li.gfield.gf_list_3col ul.gfield_radio li label, .gform_wrapper li.gfield.gf_list_4col ul.gfield_checkbox li label, .gform_wrapper li.gfield.gf_list_4col ul.gfield_radio li label{\n                font-size: 100%;\n}\n<\/style>\n<\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_403' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_403' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_403' id='gform_theme_403' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_403' id='gform_style_settings_403' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_403' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='403' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_403' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_403' id='gform_target_page_number_403' value='0' \/>\n            <input 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