Purchasing Request Form

Forms must be submitted a minimum of one week prior to the date you would like to purchase items.

Name of Club: *

Your Name: *

Position within Club (President, Treasurer): *

Cell Phone Number: *

Email Address: *

Purchasing Information

What are you requesting? *

Credit Card

Limited Purchase Order (LPO)

Check Request

Purchase Order (PO)

Where would you like to use the credit card?

Where would you like to use the LPO?

What date would you like to pick up the credit card?

What date would you like to pick up the LPO?

What time would you like to pick it up?

What time would you like to pick it up?

Amount of Request: *

Purpose of Request: *

Vendor Name:

Vendor Name

Mailing Address:

Mailing Address:

Phone Number:

Phone Number:

Federal Tax ID Number/Social Security Number:

Federal Tax ID Number/Social Security Number:

Supporting material (contracts, etc.)

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Supporting material (contracts, etc.)