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Summary: PURCHASE REQUEST FORM Req. #_________
University of Maryland
Department of Civil & Environmental Engineering
Requestor's Name: ________________________________ Phone: _______________________
Date Requested: ______________ E-mail: _______________________
Account #: ______________________ When do you need these items? 1-2 days 2-3 days 3-5 days 7-10 days
Standard shipping is often 7-10 days. Rush shipping will cost more.
Is this an internal campus request? (ISR) Y/N
Is this order over $2,500? Y/N
Do you want to take this order to the vendor yourself? Y/N
DESCRIPTION OF EXPENSE-CHECK ONE
Lab Supplies(3914) Association Dues (4930)
Mail/Postage (3210) General Office Supplies (3916)
Subscriptions (4920) Equipment Maintenance (3716)
Books (3924) Computers (peripherals) (<$1000)(3916)
Registration fees (3321) Computers (>$1,000)(4361)
Academic Software (3885) Other: Specify _______________
Is this a hazardous chemical? Y/N
Does this item weigh over 75 lbs? Y/N
Does this item require special handling? Y/N
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