Purchase Order Request Form
LHISD STUDENT SUPPORT SERVICES (rev. 03/24)
Today's Date
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Month
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Day
Year
Date
Requestor Name:
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First Name
Last Name
Your Campus & Job Title
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Requestor Email:
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example@example.com
Requestor Phone Number
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EXTENSION
Phone Number
Vendor Company Name (Amazon, HEB, School Specialty, etc.)
Vendor Webpage:
Name/Email of contact to send PO to:
Attach your Quote:
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Cancel
of
What will this purchase be used for (explain)?
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What campus/depart. will this order be used at?
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Who needs to be contacted when the order arrives?
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Enter your item details below (USE *TAB BUTTON* TO COMPLETE):
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