Willamette ESD Information Services - Technology Purchasing Request

Technology Purchasing Request

See the Technology Purchasing Process (pdf)

* Indicates a required field

Requestor Information - Person placing the request for a price quote

Contact Name:*
Dept:*
Phone # or Ext.:*

Supervisor's Name:*
Supervisor's Phone # or Ext.:*


Request Information Describe the hardware, software, or supplies that you need here. For ink and toner, be sure to put the model of the printer, color and quantity of cartridges. Please indicate whether this is quote only or an order.


Budget Code Note: If your code does not include the last 3 digits, please enter zeros (000)
Budget Code(s) and Percent of Budget:*	----	%
	----	%
	----	%
	----	%
		__________
	Total must equal 100%	%


Delivery Information - Person who will be using the device once it's delivered

Name:*
Location:*
Will the recipient need help installing or setting up equipment?*