Enroll in QuikPAY

To be enrolled in the QuikPAY® application, please complete the following form. All information is required. An email receipt of the information submitted will be emailed to the person designated as the Primary Contact. Once the enrollment has been reviewed, you will be contacted with instructions on how to proceed.

Quikpay Enrollment

This is a:
Do you need to modify an existing QuikPAY account or is this a request for a new QuikPAY account?
Additional Information for Account Modification
Enrollment Details
Transaction Details
Type of Transaction
Accounting Details
Terms of service
Under no circumstances may credit card payments representing private contributions or gifts to Case Western Reserve University be processed by an individual department. All such items must be send to Advancement Services in order to ensure that the donor receives the appropriate acknowledgement and tax documentation. Failure to comply with this requirement may result in the revocation of your department's credit card processing capability.
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.