Missouri Office of Administration
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State of Missouri – Enterprise Holdings (Enterprise Rent-A-Car and National Car Rental)
Procurement Card Billing Account Application
To establish an Enterprise Holdings, Inc. Billing Account
|Account Action Required | | Yes No |
|Create New Account: | |Update Existing | |I would like to receive |
| | |Account #: | |electronic receipts for |
|Yes |OR | | |transactions on my account. |
|State Agency Name: |Today's Date: |
| | |
|State Agency Number: | |
| | |
|Department Name: |Phone Number: |
| | |
|Department Number: | |
| Address: |City : |
| | |
| |State: Zip Code: |
|Last four digits of the procurement card to be used for rental charges |Expiration Date: |
|(You will be contacted by EHI’s Credit Department for the remaining card info.): | |
|Name as it appears on Card: |Email Address: |
| | |
|Signature Required Below: |
| |
| |
| |
|----------------------------------------------------------------------------- |
To submit, please scan and email to Ross.Deeken@ or print and fax to 877-255-5028.
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