Request For Purchase Order (RPO) 25-26

REQUEST FOR PURCHASE ORDER (RPO)
Associated Student Body of Oak Grove High School 285 Blossom Hill Road San Jose, CA. 95123 Phone (408) 347-6551 E-mail bowersc@esuhsd.org
Date*

MonthDayYear
Date
Club/Account Name*
ACCOUNT #
Leave Blank
Payable To:*
Who paid for the items?
Phone #
Fax #
Leave Blank
Address*
Address where the reimbursement check will be sent
City, State & ZIP Code*
Please fill the applicable:
Please choose one:*

ReturnMail
Please choose one:*

Purchase OrderReimbursement Check
Purpose/Description of Items Purchased
Item 1*
Price of Item 1*
Item 2
Price of Item 2
Item 3
Price of Item 3
Item 4
Price of Item 4
Item 5
Price of Item 5
Item 6
Price of Item 6
Subtotal*
Shipping & Handling
Tax*
Total*
Contact Information
Your Email*
example@example.com
Instagram
If you have another preferred method of contact, please list it as well.
Faculty/Club Advisor Email*
lastNameFirstInitial@esuhsd.org
Student Club REP*

Clear
Date*
CLUB ADVISORS/ATH. DIR. SIGN HERE

(students do not touch) 1. Sign your signature 2. Put chungk@esuhsd.org
Club Advisor/ATH. DIR. Signature

Clear
Date
Activities Director Email (ONLY ADVISOR PUTS CHUNG'S EMAIL IN)
chungk@esuhsd.org
ACTIVITIES DIRECTOR SIGN HERE

(students do not touch)
Activities Director Signature

Clear
Date
Approval Status
Additional Comments
School Bank

Clear
Date
Should be Empty:

REQUEST FOR PURCHASE ORDER (RPO)