University of California, Irvine - Purchasing Department



University of California, Irvine - Purchasing Department

KST DATA GHOST ACCOUNT APPLICATION

A KST Data ghost account is a plastic-less PALCard account, that can only be used with KST Data to purchase computer systems up to $20,000 per single transaction. PALCard training and testing must be completed prior to applying for a KST ghost account. Notification and review of KST Data ghost account charges is identical to PALCard.

SECTION 1 Applicant Information – To be completed by applicant

Last Name       First Name      

Department Name       Employee I.D. #       Phone No      

ZotCode      Signature _________________________________ Date      

SECTION 2 Ghost Account / PALCard Reviewer Assignment – To be completed by reviewer(s)

Primary Reviewer

Last Name       First Name      

Phone       Signature ____________________________ Date      

Back-up Reviewer

Last Name       First Name      

Phone       Signature _____________________________ Date      

SECTION 3 Credit Limits – To be completed by supervisor

Single purchase limit $      If left blank, the $20,000 maximum KST ghost account limit will be applied.

Cycle (monthly) limit: select one $30,000 $40,000 $50,000 $60,000

Supervisor name (print) Last Name       First Name      

Supervisor signature ___________________________________ Date      

SECTION 4 Account Number to be linked to KST Data Ghost Account – To be completed by reviewer(s)

Account number       Fund number      

Fax completed application to the PALCard program at (949) 824-4483

The new ghost account number will be transmitted automatically to KST DATA within 7-10 working days.  We will notify you at that time, so you can begin purchasing at the KST Data website: 

KST Data Online App5 9/6/2009

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