Computer Hardware & Software Order Form

(For Library Systems Staff Only)

Name: (Required)

Email: (Required)

Budget:
(Required) Dean's Discretionary
Regular Supplies

Other (specify budget code):

Quantity:

Part Number:

Description:

Unit Price:

Total Price:

Rush Order? Yes No

E-quote Number:

For Whom:

Note:
(Include URLs needed)

Additonal Software Information (if appropriate, include each software investigated -- Name, Cost, Rationale for Selection or Rejection):

Quantity:

Part Number:

Description:

Unit Price:

Total Price:

Rush Order? Yes No

E-quote Number:

For Whom:

Note:
(Include URLs needed)

Additonal Software Information (if appropriate, include each software investigated -- Name, Cost, Rationale for Selection or Rejection):

Do you need a USB-to-PS2 adapter?

Vendor Name
Address
Phone
Fax
Email
(Required)

(Your request will be sent to Karen Leblanc, Administrative Services and Nancy Colyar, Library Systems.)


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Budget: (Required)	Dean's Discretionary Regular Supplies Other (specify budget code):

Quantity:
Part Number:
Description:
Unit Price:
Total Price:
Rush Order?	Yes No
E-quote Number:
For Whom:
Note:	(Include URLs needed)
Additonal Software Information (if appropriate, include each software investigated -- Name, Cost, Rationale for Selection or Rejection):

Quantity:
Part Number:
Description:
Unit Price:
Total Price:
Rush Order?	Yes No
E-quote Number:
For Whom:
Note:	(Include URLs needed)
Additonal Software Information (if appropriate, include each software investigated -- Name, Cost, Rationale for Selection or Rejection):

	Do you need a USB-to-PS2 adapter?

Vendor Name Address Phone Fax Email (Required)