Purchase Order Request Form
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1Purchase Order Request Form
A Purchase Order (PO) is a written confirmation to a vendor that the University agrees to pay the vendor for products or services
from your organization’s on-campus account. A vendor quote, estimate or invoice must be attached to the PO request and include a
description of the merchandise or service, quantity being purchased, and total price. This form is required to make purchases from
your organizations on campus account. Please allow a minimum of 10 business days to process this request. (Extra time will be re-
quired for the following: Items purchased from a new vendor, memberships, or purchases which require a contract.)
STUDENT ORGANIZATION INFORMATION
STUDENT ORGANIZATION
VENDOR , ACCOUNT NUMBER AND PURCHASING INFORMATION MUST BE COMPLETED
,
BEFORE SUBMITTING THIS FORM TO THE OFFICE OF STUDENT INVOLVEMENT .
STUDENT ORGANIZATION INFORMATION
VENDOR INFORMATION
ORGANIZATION NAME_____________________________
VENDOR NAME___________________________________
OFFICER NAME____________________________________
VENDOR ID NUMBER _____________________________
OFFICER PHONE___________________________________
VENDOR CONTACT _______________________________
OFFICER EMAIL____________________________________
VENDOR PHONE __________________________________
TREASURER SIGNATURE___________________________
VENDOR EMAIL __________________________________
PRESIDENT SIGNATURE____________________________
VENDOR ADDRESS_________________________________
ADVISOR SIGNATURE_________________________________
TRAVEL
IS THIS PURCHASE FOR:
EVENT
THE PRESIDENT AND TREASURER MUST
OTHER _______________________________________
SIGN FOR EACH TRANSACTION
PURCHASING INFORMATION
BRIEF DESCRIPTION OF GOODS OR SERVICES
PROGRAM/EVENT NAME
DATE OF PROGRAM
DATE GOODS/SERVICES REQUIRED
TOTAL DOLLAR AMOUNT
ACCOUNT & FOPAL:
A&S ACCOUNT
CASH ACCOUNT
INDEX
FUND
ORGANIZATION
POOL
OFFICE USE ONLY:
__________________________
__________________________
___________________________
A&S ACCOUNTANT
DATE
SG TREASURER
DATE
STUDENT INVOLVEMENT DATE
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