Purchase Requisition Form

Drew University
PURCHASE REQUISITION
THIS IS NOT AN ORDER
ALL ORDERS MUST BE AUTHORIZED BY PURCHASING
P.0 #
DATE
SUGGESTED VENDOR:
NAME
REQUlSlTlONER
ADDRESS
DEPT
EXT
BUILDING
PHONE #
ACCOUNT #
FAX #
DATE ITEM(S) REQUIRED
CONTACT NAME
DELIVERY INSTRUCTIONS
Is a check required with this order? Yes
Is this a confirming order?
Yes
Yes
Is this a new vendor?
No
No
No
✔
✔
✔
Confirmations require prior authorization from Purchasing.
If yes, their Federal Tax ID # is
Special Instructions:
TOTAL
Please write legibly and print name after signature.
I
$0.00
FOR PURCHASING USE ONLY
DATE ENTERED
AUTHORIZED SIGNATURE
PRINT NAME
APPROVAL
PRINT NAME
PURCHASING APPROVAL