Click to View Form Instructions ATTENTION! COMMAS ARE NOT ALLOWED IN ANY OF OUR FIELDS. USING COMMAS WILL AFFECT OUR FORMATTING AND WILL CAUSE ERRORS IN REGISTRATION. IF COMMAS ARE USED, YOU MAY NEED TO RE-REGISTER . New Registration or are you Amending a previous submission?:* New Registration Amendment What are you Amending (What field data are you editing)?:* i.e. Removing State Account Numbers 43008900; 43123400 and 43333300 Are you registering/amending for State, Research or Both?:* State Research Both 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 302 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: Room 200 Add'l Street Address: Format: 20 Broadway St Add'l City and Zip: Format: Schenectady 12306 Do your orders require approval?:* Yes No If Yes, You Must Enter an Approver with a corresponding Email: Approver's First and Last Name:* Approver's Email:* Accounts are required given your Registration type (State, Research, Both) State Account(s):* (Please separate by ";") Format: (8 Digits) i.e. 43008900 Research Account(s):* (Please separate by ";") Format: (13 Digits, 2 Hypens) i.e. 1234567-1-12345 OR (14 Digits, 2 Hypens) i.e. 1234567-12-12345 Online Vendor(s):* (Select at least one Vendor) (Select all that apply) Applied BioSystems Dupli Fisher Grainger Industries for the Blind Krackler Laboratory Products Office Max S & B Staples VWR Print a copy for your personal records prior to submission. Click "Submit" and wait until the "Thank You" confirmation page is displayed for completion. *Required Field Please contact us if you need assistance: purchasing@albany.edu
Approver's Email:*
Please contact us if you need assistance: purchasing@albany.edu
