Purchase Order Request FORM for Technology

PO forms require specific information.  Do NOT send a PO Form that has not been completely filled out. Filling out this Form DOES NOT mean that this order can or will be filled.  It Does Mean that the Technology Department will evaluate the request and do our best to see that you have everything you require to assist student progress. 

     
 
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Campus:   DATE:

Teacher's NAME preparing PO:

ITEMS in this PO will be used WHERE?  For WHAT purpose?

Principal's Approval?

Vendor Name:    Vendor Address:

Vendor Telephone:   Vendor FAX:

Please include in ITEM to be ORDERED -- the Item number or Model number or Catalog number AND a description of each item ordered

ITEM (1) Number of ITEMS to be ordered ITEM to be ORDERED:

ITEM (2) Number of ITEMS to be ordered ITEM to be ORDERED:

ITEM (3) Number of ITEMS to be ordered ITEM to be ORDERED:

ITEM (4) Number of ITEMS to be ordered ITEM to be ORDERED:

ITEM (5) Number of ITEMS to be ordered ITEM to be ORDERED:

ITEM (6) Number of ITEMS to be ordered ITEM to be ORDERED:

ITEM (7) Number of ITEMS to be ordered ITEM to be ORDERED:

ITEM (8) Number of ITEMS to be ordered ITEM to be ORDERED:

ITEM (9) Number of ITEMS to be ordered ITEM to be ORDERED:

Has there been any discussion between you or your principal about what funds to use for this purchase?  IF yes, please specify:

 

  

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