Accounts Payable & Purchase Orders
The individual submitting this should ask the vendor for their W-9 Form (they will know what this is) and attach it to this form, if at all possible. Please screen shot the email with Kelly's approval for payment (if applicable) and upload to this form as well.
Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Current Date
*
-
Month
-
Day
Year
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Department
*
Please Select
Administration
AZVA Elementary School
AZVA Middle School
AZVA High School
Insight Academy
Special Education
Blended Learning
Federal Programs
FAST
STEM
Other
Department Other
*
Is this purchase for Family Engagement or Title IV
*
Yes
No
What are you requesting?
*
Please Select
PO or PCard - Purchasing Request
Payment for Invoice
Setup Vendor in Oracle
Applicable Email (PO & pCard)
Applicable Email (Oracle, Invoices)
Date in which payment must be received
*
-
Month
-
Day
Year
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What is the purpose?
*
Conference Registration
Item Purchasing
Hotel Reservation
Invoice Payment
Catering Order
Does this order require shipping?
*
Yes
No
Vendor Name
*
Shipping Contact Name
First Name
Last Name
Shipping Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Shipping Contact Phone #
-
Area Code
Phone Number
Preferred restaurant or type of food
*
Panera, pizza, etc.
Number of attendees
*
How many mouths are we feeding?
Delivery date
*
-
Month
-
Day
Year
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Delivery time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Total Payment Amount
*
Website for conference registration, hotel reservation, item ordering, or any other good/service that needs to be completed online.
*
Provide SPECIFIC item information (item #s, etc.) for item purchasing.
Name(s) of all conference attendees needing registered
*
Full Hotel Guest Name
*
First Name
Last Name
Hotel Check-In Date
*
-
Month
-
Day
Year
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Hotel Check-Out Date
*
-
Month
-
Day
Year
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Address of company
*
Phone number for company
*
Description of items/services to be purchased
*
Full description including item number and/or link, name of conference, etc.
Upload Kelly's approval and any additional documents
*
Upload a File
Cancel
of
Additional information (optional)
Submit
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