Requisition Form
Fill out the form below with items from the Supply Catalog and submit to the Office of Central Stores.  If you have questions about order supplies, contact Becky Maloney at maloney_b@fortlewis.edu or Ian Grammatica at grammatica_i@fortlewis.edu.

Date
Submitted By
Phone Number
Department / Ship Code
FLC Bid #
St. Contract #
Confirmation Only
Do Not Mail
Organization Code
Account Code
In the text field below, list the items you want to order. Be sure to include: Commodity Code; Item Description; Quantity; Cost Per Item and Total Cost.
Supply Catalog Order - Item 1
Item 1 Quantity
Supply Catalog Order - Item 2
Item 2 Quantity
Supply Catalog Order - Item 3
Item 3 Quantity
Supply Catalog Order - Item 4
Item 4 Quantity
Supply Catalog Order - Item 5
Item 5 Quantity
Supply Catalog Order - Item 6
Item 6 Quantity
Supply Catalog Order - Item 7
Item 7 Quantity
Supply Catalog Order - Item 8
Item 8 Quantity
Supply Catalog Order - Item 9
Item 9 Quantity
Supply Catalog Order - Item 10
Item 10 Quantity
Supply Catalog Order - Item 11
Item 11 Quantity
Supply Catalog Order - Item 12
Item 12 Quantity
Supply Catalog Order - Item 13
Item 13 Quantity
Supply Catalog Order - Item 14
Item 14 Quantity
Supply Catalog Order - Item 15
Item 15 Quantity
FORT LEWIS COLLEGE      1000 RIM DRIVE DURANGO, COLORADO 81301      (877)FLC-COLO(TOLL FREE)      ADMISSION@FORTLEWIS.EDU