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Purchase Order Request

Welcome to the PO request form. If you have questions about how to organize your PO request please see the Purchase Order FAQ page prior to placing your request. When you are ready, please complete the form below. Required fields marked with an asterisk *

Today's Date*

Answer Required

Contact Information

First Name*

Answer Required

Last Name*

Answer Required

Email Address*

Answer Required

Extension*

Answer Required

Department/Fund to be Charged*

Answer Required

Has this purchased been discussed with and approved by your department head?*

Answer Required

Yes, please continue submitting your request.

No, please discuss this purchase with your department head prior to completing your request.

Vendor (You need a separate PO request for each vendor.)*

Answer Required

If the vendor is NEW please provide ALL contact information here (Name, address, phone number, fax (if applicable), email (if applicable), website address (if applicable). You must also request a W9 from the vendor and email it to [email protected] before this vendor can be entered into the system.

Answer Required

Description of order or item numbers*

Answer Required

Quantity*

Answer Required

Total Price (Including tax and shipping if applicable YOU MUST ENTER AN AMOUNT OR YOUR REQUEST WILL BE REJECTED)*

Answer Required

Notes/Comments to the Business Office Staff

Answer Required

I understand that it is my own responsibility to place my order, make my reservations, activate my membership, or register for my conference, etc.*

Answer Required

Yes, I understand

I understand that this is only a request for the Business Office to create my request and not a guarantee of an approved purchase order. By placing this request the Business Office will create my purchase order and route it for approval, The Business Office cannot guarantee the time-frame of approval. I will not make any reservations or place any order until I have an approved purchase order. Purchases or reservation made prior to this are subject to denial for reimbursement. *

Answer Required

Yes, I understand.

Confirmation Email

Confirmation Email *

Email Required