Requisition Form
purchasing

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 Ian Grammatica at grammatica_i@fortlewis.edu.

Date:

Name:*

Email:*

Phone Number:*

Department/Ship Code:*

FLC Bid #:

State 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.

Item #1:

#1 Quantity :

Item #2:

#2 Quantity :

Item #3:

#3 Quantity:

Item #4:

#4 Quantity:

Item #5:

#5 Quantity:

Item #6:

#6 Quantity:

Item #7:

#7 Quantity:

Item #8:

#8 Quantity:

Item #9:

#9 Quantity:

Item #10:

#10 Quantity:

Item #11:

#11 Quantity:

#12 Item:

#12 Quantity:

Submit

Requisition Form purchasing

Requisition Form
purchasing