||Department that submits the request. The department name should be identical to the
department name on the Merchant Account Application Form.
||Primary contact person in the department for technical issues.
||University telephone number where the technical contact can be reached.
|Mail List Address:
||Mail list where information regarding technical issues will be sent.
(example: XXXX_epay_support@usask.ca, where XXXX=Department)
|Merchant Application Support - Employee Name
||Name of the Merchant Application Support person(s) who will be authorized to access the ITS
Pay Page & Moneris Test Server
|Merchant Application Support - NSID
||NSID of the Merchant Application Support person(s) who will be
authorized to access the ITS Pay Page & Moneris Test Server
||Signature of the person in the department authorized for technical issues.
||Date form completed and forwarded to Treasury Office.