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Purchase Request Form

Please complete the following form. Note that fields with a red square indicate required information.

(Required)
Enter the full name for the person that will be responsible for the purchased items.
(Required)
Enter a valid email for the person that will be responsible for the purchased items.
Enter the full name of the person making the request if diffent from the contact information above.
(Required)
Please provide a brief description of the item(s) being purchased.
Please indicate which division or shcool this purchase is affiliated with.


Please provide the name of the vendor or a URL to the vendors website
Fill in the dollar amount of the total purchase request. NOTE: do not use a $ symbol. Decimal numbers are the only acceptable value.
If you have recieved a quote in file format, please provide it in your request.
(Required)
Please provide the account number to charge this purchase against
(Required)
Select the person that is responsible for your account management.
(Required)
This only applies to standard equipment


If you answered yes to the question above, please provide any special instructions with regards to the installation.
(Required)
If this equipment may leave campus at any time, please indcate that by selecting yes.


If you answered yes in the question above, please provide an address to the off campus location.
If this equipment may be located off site, please provide a GT ID for the person responsible for the item(s) when away from campus.

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