Purchase Order Request

Hidden
Unique ID
Email*
Date*
MM slash DD slash YYYY
PO Status*
- This is a new PO and I need a PO# assigned
- This is a change to an existing PO (CHANGE ORDER)
PO#

Hidden
Requested By:
What month is this purchase for
What year is this purchase for
Vendor Name*
Attach W9 and New Vendor Setup form for all new vendors.
New Vendor Name (as it appears on invoice)
DBA
Mailing Address (as it appears on invoice)
Address 2
City
State
Zip
Country
Federal ID# or SS#
Contact Person
Title
Phone
Fax
Email
Terms
Type of Business
W9*
Accepted file types: jpg, gif, png, pdf, xls, csv, xlxs, xlsm, Max. file size: 32 MB.
2MB file size max!
Quote #
Attached Vendor Quote
Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB.
2MB file size max!
DETAILED DESCRIPTION OF PURCHASE
IS THIS A CAPITAL EXPENSE?
- Yes
- No
BUDGETED?
- Yes
- No
Budget Number
* If CAPITAL or BUDGET Expense send copy of approved request to Pete Silver in Minneapolis