Purchase Order Form

The Purchase Order Form is used for allowing a person to purchase from a company. The purchase can be in exchange for goods or services rendered.

Extracted Text for Proper Search

Purchase Order Request Form	
Req. No. ________________________ Purchase Order No. ________________________
Account No. ______________________ Account Name ____________________________
Professor’s Name ______________________ Signature __________________________________
Your Name ______________________ Your Email __________________________ Your Phone Number ______________
Date __________________
Special Instructions:
Complete Name of Vendor: ________________________________
Address of Vendor: ________________________________________
________________________________________
Please attach any web printout or email or faxed quotation received from vendor.	
Item Description Quantity Unit Per-Unit Line Item Total
No.	
(each, pkg, case)	Price Price	
Name of Contact: ______________________
Contact’s phone number: ________________
Contact’s fax number: __________________Total Price ____________	
In Stock           Lead Time __________________
Shipping Preference       Ground        Express