PURCHASE REQUISITION REQUESTED BY
FACULTY BUSINESS CARD INFORMATION
Ofﬁcial Title Discipline
M.S. # Ofﬁce Telephone # MCC Email
Sample of Faculty Business Card (back is the standard setup)
Name Educational Credentials (optional)
Name of Requisitioner Date of Request
Department/Division Name Requisition #
Ofﬁce Location and Mail Station Purchase Order # From Purchasing
Adam T. Smith, Ph.D.
Great Path, M.S. #00, P.O. Box 1046, Manchester, CT 06045-1046
tel: 860.512.0000 email: firstname.lastname@example.org
Include quantity, cost
and vendor information
on purchase requisition.
VENDOR INFORMATION FOR REQUISITION
JOHN W. GROSS CO.
P.O. Box 370457
West Hartford, CT 06137-0457
Business Card Quantity and
Cost (please check one)
Quantity 500 for a cost of $35.65
Quantity 1,000 for a cost of $41.28
BUSINESS CARD SPECIFICATIONS
Standard MCC Business Card: 2-sided, stock (#100 classic crest cover, stipple
ﬁnish, solar white), PMS color 294C. Back of business card is the standard setup.
Please complete this order form (
one per person),
include with a signed purchase requisition, and forward to Purchasing Ofﬁce, MS #10.
A sample of the business card will be forwarded by email to the requisition signer for ﬁnal approval. You will be notiﬁed by email when business
cards are delivered. The pickup location is SSC L165.
Please ﬁll out ALL of the information requested below; print clearly. One business card request per form. Photocopy as needed.
Faculty Business Card Request Form