Request for Pickup Form

Please note - this form will not submit unless all required fields have been filled out.  If you have no information for a required field, please use "n/a". 
Date
From
Department
Vendor
Vendor Address
Original Purchase Order #
Description of item to be returned
Price
Quantity returned
Reason For Return
Reason for Return - Other
FORT LEWIS COLLEGE      1000 RIM DRIVE DURANGO, COLORADO 81301      (877)FLC-COLO(TOLL FREE)      ADMISSION@FORTLEWIS.EDU