Administrative Services

Office of Facilities Management

P-Card Order Form

Contact Information


Your Name:


Your Email:


Dept. Phone:



Shipping Information


Deliver Items To (Name):


Deliver Items To (Building):


Deliver Items To (Room):


Vendor Information


Federal ID #:


Quote #:


Vendor:


Vendor Address:


Vendor Phone:


Vendor Fax:

Order Information


Today's Date:


Work Order Number:


Project Number:


Phase Number:



Back-up documentation pertaining to purchase request?
Yes
No

Notes:


Description:
Quantity:
Unit Price:
Description:
Quantity:
Unit Price:
Description:
Quantity:
Unit Price:
Description:
Quantity:
Unit Price:
Description:
Quantity:
Unit Price:


Return to Facilities Management