PURCHASE REQUISITION REQUESTED BY
NAME BADGE INFORMATION
Darter Specialties, Inc.
P.O. Box 188
Cheshire, CT 06410
Sample of Name Badge
Please include quantity, costs
and vendor information on
Cost per name badge: $10.00
Freight cost per purchase order: $6.00
(Save money on freight by ordering name badges for several people on the same requisition.)
Name (Limited to 24 characters. Do not include preﬁxes and professional credentials, i.e., Dr. or Ph.D.)
Name of Requisitioner
Date of Request
Department/Division Name Requisition #
NAME BADGE SPECIFICATIONS AND COSTS VENDOR INFORMATION FOR REQUISITION
Gold name badg
e, matte finish, black imprint, magnetic back.
Font type and size: Avenir Bold, 16 pt
_______________ 2 7/8 inches____________
_______ 1 7/16 inches ____
Great Path, MS ??
P.O. Box 1046
Discipline or Department (Limited to 24 characters)
Number of badges
ordered in this name
Please complete this order form (
one per person),
include with a signed purchase requisition, and forward to Purchasing Ofﬁce, MS #10.
will include this form with the purchase order and send to the vendor. Please note: Vendor and Purchasing are not responsible for typographic errors
submitted by originator of this form. Delivery: 2-3 weeks after receipt of purchase order.
To save a copy of the PDF form with your information, go to Print; under Printer, select Adobe PDF; under Copies, select PDF Options, then select
Print. Save the PDF ﬁle to your computer under a different name.
Name Badge Order Form