Purchase Request Form - University Of Houston

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University of Houston
Sport Club Program
Purchase Request Form
Club Information
Vendor Information
Date Submitted
Vendor
Sport Club
Contact
Name
Phone #
Office
Fax #
Phone #
Address
Email
City/State/ZIP
Request Date
Website
Reason for Purchase: ____________________________________________________________________________
__________________________________________________________________________________________________
Item #
Description
Qty.
Item Cost
Total Cost
$
$
$
$
$
$
$
$
$
$
Estimated
$
Current amount in account
Shipping
(Estimate 15% of cost
$________________
if unknown)
TOTAL
$
Please attach appropriate documentation (quotes, and website item visuals, etc.) along with this form.
Special Instructions: _____________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Office Use Only
Account to be used: Campus Rec $ _________________
External: $_________________
SC Approval: ____________________________ Date Approved: __________________
CRec Approval: _____________
Date Purchased: ____________
Amount: $____________

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