Order Form
Name
First Name
Last Name
Email
*
example@example.com
Date
*
-
Month
-
Day
Year
Date
Items
Rows
Qty Requested
Manager Approval
Qty Approved
Dish Cloths – (Costco)
Pending
Approved
Denied
Partial
Clear drinking cups (Circle Dairy)
Pending
Approved
Denied
Partial
Solo cups (Costco)
Pending
Approved
Denied
Partial
Gloves M, L, XL (Costco)
Pending
Approved
Denied
Partial
Portion Cups (Amazon)
Pending
Approved
Denied
Partial
Large garbage bags – 35 x 50 (On-line Costco or Staples)
Pending
Approved
Denied
Partial
Toothbrushes (12 in a package - Walmart)
Pending
Approved
Denied
Partial
band aids (box - Costco)
Pending
Approved
Denied
Partial
Sugar (10 kg – Costco ) (20 kg Circle Dairy)
Pending
Approved
Denied
Partial
Coffee Mate (Commercial – Circle Dairy)
Pending
Approved
Denied
Partial
Coffee (Commercial – Circle Dairy)
Pending
Approved
Denied
Partial
Stir Sticks (Circle Dairy)
Pending
Approved
Denied
Partial
Razors – 10 pack (Walmart)
Pending
Approved
Denied
Partial
Peanut butter (Costco)
Pending
Approved
Denied
Partial
Bounce sheets (Costco)
Pending
Approved
Denied
Partial
Coffee Cups (online Costco box of 500)
Pending
Approved
Denied
Partial
Bano (4ltr Jug – Home Depot)
Pending
Approved
Denied
Partial
Pine sol (4 ltr Jug – Costco)
Pending
Approved
Denied
Partial
Shower Soap (Home Hardware or Amazon – not always available)
Pending
Approved
Denied
Partial
Laundry Pods (150 per bag - Costco)
Pending
Approved
Denied
Partial
Laundry Soap - Purex - client (250 washes - Costco
Pending
Approved
Denied
Partial
Toilet Paper - Jumbo (Costco online)
Pending
Approved
Denied
Partial
Paper Towel – Kitchen dispenser (Costco or Staples)
Pending
Approved
Denied
Partial
Bed Bug Spray – (Canadian Tire)
Pending
Approved
Denied
Partial
Cock Roach Spray – (Canadian Tire)
Pending
Approved
Denied
Partial
Submit
Should be Empty: