AT/6-11
Grays Harbor College
Purchase Requisition Form
Date of Request: Date Item(s) Required:
Dare of Shopping Trip:
Vendor Name: Website Address:
Physical Address: Phone:
List
Catalog or Item #
Description of Items
Qty
Price Per Unit
Total Cost
(Remember Sales Tax)
BUDGET CODE INFORMATION
NOTES:
App.
Program
Object
SUB
264
Club Name & Point of Contact:
Phone:
Email:
Club Advisor Signature / Date:
Budget Administrator
Signature / Date:
CREDIT CARD
REQUEST FORM