Information Technology Administrative Computer Hardware/software Purchase Authorization Form

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Administrative Computer Hardware/Software Purchase Authorization Form
REQUESTED BY:
Contact Person:
Date:
Location/School:
Phone:
Purchase Justification:
Completion Target Date:
SOFTWARE VENDOR INFORMATION:
Software Name:
Company Name:
Software Description:
(Attach proposal!)
Purchase Cost: $
Annual Maintenance Cost: $
Financial Code:
Vote
Project
Object
Departmental Use
COMPUTER HARDWARE INFORMATION:
Hardware Type:
Model/Brand Name:
Hardware Description:
(Attach proposal!)
Purchase Cost: $
Annual Maintenance Cost: $
Financial Code:
Vote
Project
Object
Departmental Use
PURCHASE AUTHORIZATION SIGNATURES(must be completed): ITSS INTERNAL USE ONLY
Requesting Person:
Date:
Requesting Person’s VP:
Date:
I.T. Services Representative:
Date:

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