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Electrical and Computer Engineering
ECE Forms
ECE Purchase Request
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
Other
Website
- enter a valid website URL for example https://www.google.com
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
Need to share a quote or other info with us? You can attach unlimited files, up to 12 MB.
Drop files here or