Purchase Request


First Name:
Last Name:
Email Address:
Department:
Phone Number:
Budget Code:

Who will receive the new computer / peripheral?

Will this purchase be a net inventory growth?
Will this purchase be a standard piece of equipment?
Please describe what you would like to purchase and, if necessary, explain in detail the need for an inventory growth or non-standard purchase:

Please note that, unless specially expedited, computer and peripheral orders take approximately 3-4 weeks to arrive.

 
 

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