Purchase Requisition Form
ATLAS PRODUCTION GROUP
Date of Request
*
-
Month
-
Day
Year
Date
Requestor
First Name
Last Name
Requestor Email
*
example@example.com
Type of Request
*
Purchase
Budgetary / Estimate Only
Required Delivery Date (for purchase requests only)
-
Month
-
Day
Year
Date
Justification (explain requirement or need for purchase)
*
Supplier Name (if known)
Supplier Address (if known)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Supplier Phone Number (if known)
-
Area Code
Phone Number
Supplier Email (if known)
example@example.com
Supplier Contact Name (if known)
First Name
Last Name
Supplier Contact Email (if known)
example@example.com
Contact Phone Number (if known)
-
Area Code
Phone Number
Ref. Supplier Quotation No. (if available)
Ref. Supplier Quotation Date (if known)
APG Account
*
Please Select
1610 Office Equip.
1631 Audio Equip.
1632 Video Equip
1635 Scenic Related
1636 Cases
1637 Cable
6005 Training
6110 Auto Expense
6115 Truck Rental
6160 Dues/Subscript
6245 Office Supp.
6246 Software
6320 Comp. Repair
6330 Equip. Repair
6335 Supplies/Tools
6580 Adv/Mktg
Method of Shipment (if known)
Please Select
UPS
Fed-X (150< lbs)
Fed-X (150> lbs)
USPS
APG Pick-Up
LTL / TL
Other
Current FLEX Inventory Item(s)
Yes
No
Add as New FLEX Inventory Item(s)
Yes
No
Back
Next
ITEM 1
QTY
UNIT OF MEASURE
EACH
POUND (LB)
SET OR MULTIPLE
INCHES (Length)
FEET (Length)
FLEX REFERENCE BARCODE NO. (If Applicable)
DESCRIPTION (Insert Link if Available)
UNIT $ (If Known)
EXT. $'S
ITEM 2
QTY 2
UNIT OF MEASURE
EACH
POUND (LB)
SET OR MULTIPLE
INCHES (Length)
FEET (Length)
FLEX REFERENCE BARCODE NO. (If Applicable)
DESCRIPTION (Insert Link if Available)
UNIT $ (2) (If Known)
EXT. $'S
ITEM 3
QTY 3
UNIT OF MEASURE
EACH
POUND (LB)
SET OR MULTIPLE
INCHES (Length)
FEET (Length)
FLEX REFERENCE BARCODE NO. (If Applicable)
DESCRIPTION (Insert Link if Available)
UNIT (3) $ (If Known)
EXT. $'S
ITEM 4
QTY
UNIT OF MEASURE
EACH
POUND (LB)
SET OR MULTIPLE
INCHES (Length)
FEET (Length)
FLEX REFERENCE BARCODE NO. (If Applicable)
DESCRIPTION (Insert Link if Available)
UNIT $ (If Known)
EXT. $'S
ITEM 5
QTY
UNIT OF MEASURE
EACH
POUND (LB)
SET OR MULTIPLE
INCHES (Length)
FEET (Length)
FLEX REFERENCE BARCODE NO. (If Applicable)
DESCRIPTION (Insert Link if Available)
UNIT $ (If Known)
EXT. $'S
ITEM 6
QTY
UNIT OF MEASURE
EACH
POUND (LB)
SET OR MULTIPLE
INCHES (Length)
FEET (Length)
FLEX REFERENCE BARCODE NO. (If Applicable)
DESCRIPTION (Insert Link if Available)
UNIT $ (If Known)
EXT. $'S
ITEM 7
QTY
UNIT OF MEASURE
EACH
POUND (LB)
SET OR MULTIPLE
INCHES (Length)
FEET (Length)
FLEX REFERENCE BARCODE NO. (If Applicable)
DESCRIPTION (Insert Link if Available)
UNIT $ (If Known)
EXT. $'S
ITEM 8
QTY
UNIT OF MEASURE
EACH
POUND (LB)
SET OR MULTIPLE
INCHES (Length)
FEET (Length)
FLEX REFERENCE BARCODE NO. (If Applicable)
DESCRIPTION (Insert Link if Available)
UNIT $ (If Known)
EXT. $'S
ORDER TOTAL $'s
Requestor Signature
*
APPROVAL(S)
1st Approval Signature
*
Submit
Submit
Should be Empty: