Commodity/Services Request (CSR)

COMMODITY & SUPPORT REQUEST

*Please list all expenditures in U.S. Dollars*
REQUESTOR INFORMATION
DATE RECEIVED

MonthDayYear
Date
Region

LATAMDomesticUnited Board
Chapter Approver

Jonatan GioiaMonica Puente
SOMOSLOUD CHAPTER
REQUESTOR NAME
REQUESTOR EMAIL*
example@example.com
Request Type*

Amazon OrderFedEx PrintingEvent Support (Travel Request)Custom Swag (local/Chapter use)Contractual ServicesSoftware Subscription
Name of Travelers*
SHIP TO ADDRESS*
For items only

ITEMS REQUESTED?*

HIDE-ITEMS REQUESTED LONG TEXT
SUBTOTAL (USD)
TAXES (USD)
GRAND TOTAL (USD)
JUSTIFICATION/NEED FOR PURCHASE OR SERVICE DESCRIPTION*
NOTE: Services requested will require a contract if applicable
ATTACHMENTS/NOTES INCLUDED?:

NOYes (include details)
NOTES/DETAILS
Disclosure of Potential Conflict of Interest
Are any member(s) or related parties of SOMOSLOUD receiving financial compensation as a vendor for this event?*

N/A - I have no conflict of interest to reportYes - I have the below conflict of interest to report on either my behalf or that of a Chapter Board Member [please specify other nonprofit and for-profit boards you (and your spouse) sit on, any for-profit businesses for which you or an immediate family member are an officer or director, or a majority shareholder, and the name of your employer and any businesses you or a family member own.]
Name(s) of relevant SOMOSLOUD member(s) + working/vendor titles*
Statements of Acknowledgement & Agreement*

In accordance with the SOMOSLOUD Bylaws, I can confirm that this/these individual(s) did not take any part in the Chapter voting process for their final rate and vendor selection process.I hereby certify that the information set forth above is true and complete to the best of my knowledge.
COI Disclosure Agreement*

Clear
Supporting Documents

Cancelof
Should be Empty:

COMMODITY & SUPPORT REQUEST