EAHR Purchase Request Form Date* MM slash DD slash YYYY Date Item is Required* MM slash DD slash YYYY Submitted ByName* First Last Email* Phone*Order InformationIs this order for printing?* Yes No All printing/copying requests will be processed through one of the on campus resources and must comply with Texas A&M University Administrative procedure 28.02.99.M1.01 PRINTING AND COPYING PROCEDURES.Is this order for computers/software?* Yes No All computer related hardware and software must be approved by the Computer Support office.Will the purchase be used to support course instruction?* Yes No Justification of Expense. If supporting course instruction, please provide courses.*Suggested Supplier InformationCompany Name* Phone Number*Fax NumberWebsite Attach quote (if any) Drop files here or Select files Accepted file types: jpg, pdf, doc, docx, xls, xlsx, Max. file size: 50 MB. Purchase InformationItemsDescription, quantity, unit price and amount fields are required. Click plus (+) to add items.Account InfoItem #DescriptionQuantityUnit PriceAmount Sub-Total*Grand Total*Do you have written pre-approval for this order?If so, be sure to attach that documentation below.Attach written pre-approval of purchase request Drop files here or Select files Accepted file types: jpg, pdf, doc, docx, xls, xlsx, Max. file size: 50 MB. CommentsThis field is for validation purposes and should be left unchanged.
