Online Order Registration Form

For RF accounts, please click here. 


New Registration or are you Amending a previous submission?:*
  New Registration Amendment
What are you registering/amending?:*
  State
First and Last Name:*
 
Format: John Doe
Email:*
 
Format: JDoe@albany.edu
Phone:*
 
Format: 555 555-5555
Department:*
 
Format: Biology
Ship To Location:
Building and Room:*
 
Format: MSC 501
Street Address:*
 
Format: 1400 Washington Ave
City and Zip:*
 
Format: Albany 12222
Add'l Ship To Location:
(Only enter into these fields if you
have a second location to add)
Add'l Building and Room:
 
Format: UAB 511
Add'l Street Address:
 
Format: 1400 Washington Ave
Add'l City and Zip:
 
Format: Albany NY 12222
Do your orders require approval?:*
  Yes No
State Account(s):*
(Please separate by ";")

  Format: (8 Digits) i.e. 43008900
Online Vendor(s):*
(Select at least one Vendor)
(Select all that apply)
  Business Cards, Envelopes, Letterhead:
Pugs Print

Industrial Supplies:
Grainger

Laboratory Chemicals & Supplies:
Fisher Scientific
Krackler
VWR

Office Supplies:
S&B/OfficeMax
Staples/Proftech
Print a copy for your personal records prior to submission.    
Click "Submit" and wait until the "Thank You" confirmation page is displayed for completion.