Please allow for the Following:
CHECK - 10 Working Days
PURCHASE ORDER - 5 Working Days
ASSOCIATED STUDENT PURCHASE REQUISITION
Date
Date
Club Advisor Student Club Member
Expense
APPROVED
FOR OFFICE USE ONLY
Club Name
Vendor
Street Address
City
Zip
State
Purchase Order
Date of Request
Activity
Check
NOTE: All required documents must be completed and submitted with this Purchase Requisition. Including, but
not limited to: completed requisition, club minutes with expenditure approval, invoice(s), and vendor estimate
(which includes vendor's telephone number, address, itemized list and date of estimate).
QTY.
UNIT
COMPLETE DESCRIPTION OF ITEM
UNIT
COST
TOTAL
COST
Dean/CLC
Date
Mail to Vendor
CHECK
Deliver to Advisor
TOTAL
Club #
FAX Purchase Requisition and all required supporting
documentation to:
ATTN: Campus Life, 530-749-3884
FOLLOW UP: 530-741-6992, leave a voice mail
MAIL: All originals to Campus Life after you receive
verification everything is in order.