Hamilton College

Auxiliary Services

Purchase Requisition Form

How will you be submitting this form?

Print

Send to supervisor

Supervisor's E-mail:*

Your E-mail:*

Date:*

Vendor Name:*

Vendor Address:*

Ordered By:*

Department Head:*

Fax this order to the vendor. (Provide fax number please.)

Mail this order to the vendor.

Return this purchase order to me. I will place the order myself.

I have already placed this order, mark the P.O. as "Confirmation" only and send to the vendor.

Budget Line NO.	Model NO.	Description	Quantity	Unit	Price Each	Total Price

Cupola

Hamilton College 198 College Hill Road Clinton, NY 13323 • 315-859-4011 • Copyright © 2013 The Trustees of Hamilton College. All rights reserved.