House of the Lord Fellowship
201 West Main Street, PO Box 245, Lock Haven, PA 17745
2016 Form
House of the Lord Fellowship
PURCHASE ORDER REQUEST FORM
Date:
Requester Name:
SUPPLIER NAME(S) (if known)
Ministry Department:
**Please allow 2 to 3 weeks for order processing and delivery.
ORDER REQUESTS
Item
Part No./Color
Quanity
Reason Need or Usage For
Item Description
Price
Total
Extra Comments:
FOR OFFICE USE ONLY:
Church Ministry Department
Method of Shipment
Ship to & Attention of
Order Date & Method
Delivery Date
Account Number
Order Number:
SUPPLIER INFO (Phone/Email/Address/Website)
SUPPLIER NAME
Comments:
REQUESTED BY:
APPROVED DATE: Y / N
OFFICE APPROVED BY: