Wenatchee Valley College
COSTCO
Purchase Authorization Form
To purchase miscellaneous supplies not to exceed $
Date:
Department:
Budget number:
Brief description of items to be purchased and approximate cost:
Authorized by: ___________
Budget Administrator Signature Date
I have read, understand and agree to the conditions of the institutional charge card
procedures and will abide by them. If I engage in any unauthorized purchases, I agree
to be personally responsible for the cost of the purchase, and will reimburse the college.
I understand unauthorized purchases are grounds for termination of credit card
privileges and may have further consequences.
Purchaser: ___________
Signature Date
Remember to include your Meals and Light Refreshment form
if you are purchasing food to be served on campus.
That form needs to be signed by Brett Riley,
and approved through Alley Café, so plan ahead.
