Billing Information
(Items in red are required.)
Name of person to deliver to:
Address to deliver to:
Confirmation phone number:
Confirmation email:
Person confirming order:
Department:
MO code:
PS acc. #:
*Fiscal contact email:
Special Instructions:
Submission Status/Results: Not sent yet.
*This person will also receive order confirmation.
Card Information
Name and Title:
First Name:
Last Name:
Suffix: (e.g. B.S., CPA, M.S., MBA, Ph.D.)
Title (line 1):
Title (line 2):
Department, Office, etc.:
College/School, Division, etc.:
Room #:
UMKC Building Name: Please select a building... 4741-43 Troost Ave. 4747 Troost Ave. 4825 Troost Ave. 51st Street Annex 5201 Rockhill Rd. 5211 Rockhill Rd. 5215 Rockhill Rd. 5300 Rockhill Rd. 5301 Charlotte St. 5301 Harrison St. 5301 Rockhill Rd. 5301-03 Holmes St. 5305-07 Holmes St. 5306 Holmes St. 5310 Harrison St. 5317-19 Holmes St. 5319 Rockhill Rd. 5322 Rockhill Rd. 5327 Holmes St. Administrative Center African-American History and Culture House Atterbury Student Success Center Biological Sciences Building Cherry Hall Cherry Street Parking Garage-Mail Services Cherry Street Parking Garage-Police Cockefair Hall Debate House Dentistry Building Edgar L. and Rheta A. Berkley Child and Family Development Center Education Building Fine Arts Building Flarsheim Hall General Services Building Grant Hall Haag Hall Health Sciences Building Henry W. Bloch Executive Hall for Entrepreneurship and Innovation Henry W. Bloch Management Building Herman and Dorothy Johnson Residence Hall Hospital Hill Annex James C. Olson Performing Arts Center Katz Hall Law Building Manheim Hall Medicine Building Miller Nichols Learning Center Miller Nichols Library Newcomb Hall Oak Place Apartments Oak Street Residence Hall Old Maintenance Building Pershing Building School of Medicine-Saint Luke's Hospital School of Medicine-Truman Medical Center Hospital Hill School of Medicine-Truman Medical Center Lakewood Scofield Hall Spencer Chemistry Building Student Union Swinney Recreation Center Toy and Miniature Museum Union Station University House
Mail Address*:
ZIP*:
Campus Location*:
* These fields set by using the UMKC Building Name option.
Contact Information:If you need a descriptor after a phone number, please type it in the boxes to the far right of the phone.
(office) (mobile) (toll free) (fax) (pager) ()-
Email: @umkc.edu @mail.umkc.edu @kcur.org
Website: (URL's should not include http:// or www.)
Secondary Logo on Front:Please select the the logo that matches your organization.
none Police Department TMC Logo
Optional Business Card Back:You may enter your own text, or select a standard back below.
Business card back text:
Quantity:
