Square Mobile Credit Card Reservation Form

I understand that completing this form DOES NOT GUARANTEE A RESERVATION. You will receive an email from our office if the reservation has been confirmed.

First and Last Name

Name of Department, Club, or Organization

BYU Email

Personal or Club/Dept/Org

Phone Number

Will your event be On Campus or Off Campus?

Each person handling the device(s) MUST complete the following training BEFORE picking up the device:

PCI DSS Training: Click to complete PCI DSS Training

Who will pick up the device?

How many devices are you requesting?

Please note the number of devices you can reserve is subject to availability. Limit of 2.

What date will you pick up the device?

Monday - Friday only. Weekends and holidays not permitted.

What time will the device be picked up?

Closed Tuesday at 11am for Devotional

What date will you return the device?

Monday - Friday only. Weekends and holidays not permitted
Limited to 1 week from pickup day.

What time will the device be returned?

Closed Tuesday at 11am for Devotional

I understand that if my reservation is accepted, I must show up at my chosen time and date to receive the device(s). If I am more than 20 minutes late, I understand this will result in an automatic cancellation.

What is your Driver Tag?

Example: AC12345 (Must be 7 Characters)

What is your Revenue or Spend Category?

Example: RC1234 (Must be 6 Characters)

What is your 4 digit Ledger Account?

Please contact your Business Partner/Controller for the appropriate account information

What is your Workday Class?

Only if applicable. (Example: 12345 )

I understand that all items (including power adaptors, and applicable card readers) must be returned, with the devices charged, and that I am liable for any damaged or lost items.

Please read and accept the following:

- This request DOES NOT GUARANTEE A RESERVATION.
- I will receive an email confirmation if the reservation is accepted.
- The ONLY permitted apps are "Square" and "Settings".
- Rentals are limited to 2 devices for a maximum of 1 week.
- Mobile CC devices are in high demand. Late Returns may result in loss of future checkout privileges.
- The sales and merchant fees from my event post on a monthly basis.
- Any lost or damaged equipment is my responsibility and I agree to cover the cost of replacement if necessary.
- I understand that if my event is Off-Campus, I must contact the tax office (801-422-7100) or taxaccountant@byu.edu.
- I agree to follow the cash handling policies of my group.
- My group agrees to follow all club related fundraising policies and procedures (if applicable) as outlined by University policy.

Square Mobile Credit Card Reservation Form

Please note this is a new form. The old Google form as been retired.