Purchase Request Form Page 2
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1
2
3Club Contact Information
Campus Recreation will inform the Club Officers listed below when all purchased items are
delivered to the Student Recreation Center.
Club President: _________________________
Signature: _________________________
Phone: _______________________________
Email: _________________@montclair.edu
Club Treasurer: _________________________
Signature: _________________________
Phone: _______________________________
Email: _________________@montclair.edu
Additional Items
________________________
Additional Item Name:
Type of Purchase:
____ Equipment
____ Apparel
____ Merchandise
____ Travel/Transportation
____ Hotel
____ Other
(please specify): ___________________________________________________
Reason for Purchase: __________________________________________________________
____________________________________________________________________________
Description of Item
: _____________________________________
(include sizes, colors, quantity, etc.)
____________________________________________________________________________
____________________________________________________________________________
Other
Contact
Item
Unit
Vendor Name
Website
Phone
Quantity
Prices
Total
Person
Number
Price
(shipping
fees)
1
2
3
*Tax Exempt*
*For items over $250, please attach price quotes from all three vendors to this document*
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Parent category: Business