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Page 2, Application to Participate <br /> Once PFM receives your completed application packet, it will be reviewed to ensure that everything has <br /> been completed correctly. Properly completed documents will be immediately forwarded to Harris Bank. <br /> Upon receipt of the package, Harris will email the Program Administrator an electronic "Implementation <br /> Handbook" and begin implementation discussions. This normally takes place within 14 business days of <br /> Harris's receipt of the application. <br /> A fist of PCard Administrators will be posted on our website to foster a support/user network. Do you <br /> want to be listed on our website? ❑ Yes ❑ No <br /> By signing this application you are authorizing PFM to debit your account on the 7 day, after the cycle <br /> cut off of each month, for payment of your PCard invoice. It is the customer's responsibility to make sure <br /> monies are available, in the account stated above. If monies are not in the account on the date of <br /> withdrawal, the customer will be subject to charges. <br /> AUTHORIZED CLIENT SIGNATURE PRINT NAME <br /> Dallas Larson <br /> TITLE DATE <br /> Administrator <br /> If you have any questions, please contact us at 800 - 356 -5418 or pcardeofm.com. <br /> Return Completed Application Packet to: <br /> PFM Financial Services LLC <br /> Airport Corporate Center <br /> One Corporate Drive, Suite 101 <br /> Bohemia, NY 11716 <br /> Attn: PCard Processing <br /> • <br /> For Internal Use <br /> Approved by PFM : Approved by Harris Bank <br /> Date: Date: <br /> 33 <br />