SUU Equipment/Supplies Bid Request Form
Date: ______________________________
Department Name: _________________________________________________________
Requestor Name: _________________________________________________________
Technical Contact Name: __________________________________________________
Funding Source (Account or Index): _______________________________________
*Please provide budgetary quote(s), if possible.
Expected Delivery Date: ____________________________________________________
Specifications & Quantities (If more space is needed, please attach / include supporting documents)
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Please list your 3 preferred vendors - Include a valid email address and phone number
*If the department is not willing to use a specific vendor, please do not list them.
1. ________________________________________________________________________
2. ________________________________________________________________________
3. ________________________________________________________________________
* Bids can take up to 15 business days to completely process and return to the department.
This purchase and available funds has been reviewed and approved by:
Supervisor Signature: _______________________________ Date: _______________________
*All purchases of 50k and above, should be signed by one of the following:
Assistant Vice President Vice President Provost President
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signature
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