ECE Purchase Request

Your Name * Required
Your Email * Required
Purchase Type * Required
- Chemical
- Gas
- General Merchandise
MSDS Confirmation * Required
- We've purchased this before and an MSDS is on file
- This is a new gas or chemical and should be reviewed
Funding Source Information * Required
Find the correct account number using the COEN Fund Sources workbook: https://docs.google.com/spreadsheets/d/1RCzgJMIbuSoHWDnX-4Z4PwGER2NUx2jZIzkVy5jdl0g
Account Number Percent Split Approver
Notification
Need someone else on your team to receive email notifications about this order? Include the appropriate email address in the space provided.
Rush Order? * Required
Purchases generally require about 48 hours for processing. If you have an urgent need, you can request expedited processing and shipping using the options below.
- Standard Shipping (Least Expensive)
- Two-Day Shipping Preferred
- Overnight Shipping Preferred
Vendor
Need to buy from more than one vendor? Please submit a separate purchase request for each vendor.
Company Name Representative Name (if applicable)
Vendor Contract Status * Required
We are required to buy office supplies from Office Depot, materials from Grainger, and lab supplies from Fischer Scientific. Please be sure to check these vendors before requesting a purchase outside the approved contracts.
- Approved contract vendor
- Off-Contract Vendor - Item not available
- Off-Contract Vendor - Specific part/brand required for compatibility
Website
Phone
Product Purchase List * Required
Item Number Item Description Quantity Price Hyperlink
Business Purpose * Required
Briefly describe the intended use of the requested materials
Location * Required
Where will the items in this order be used/stored?
Delivery Contact * Required
Please provide a phone number for a contact who can be reached at time of delivery.
Files
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ECE Purchase Request

Purchase Request Form

Electrical and Computer Engineering

Account Number	Percent Split	Approver

Item Number	Item Description	Quantity	Price	Hyperlink