OSAF P-CARD REQUEST

***WE WILL BE CLOSED THURSDAY 11/26 THROUGH SUNDAY 11/29. REQUESTS MADE AFTER 2:00PM ON WEDNESDAY 11/25 WILL BE PROCESSED ON MONDAY 11/30***

PLEASE PLACE ORDERS IN ADVANCE OF FILLING THIS FORM OUT! Include any information in this request that will be needed when we call to pay for your order.

* Required

Today's Date: *

VENDOR INFORMATION

Vendor Name: *

Location (City/State): *

Phone Number: *

PURCHASE INFORMATION

ITEMIZE DESCRIPTION OF PURCHASE * list the items you are buying

WHY DO YOU NEED TO MAKE THIS PURCHASE? *

Amount: (Including tip, tax, shipping) * estimate if you don't have an exact amount

If this is a call in order, what name and phone number is the order placed under?

TRAVEL ONLY

Fill out these questions for purchases related to travel.

Traveler Name:

Destination: Where are you traveling to?

Departure Date:

Return Date:

EVENTS AND FOOD

Fill out these questions for purchases related to an event, or for food.

Date of Event:

Location of Event:

Number of Attendees:

Attendee Names ***if less than 10 attendees, list of names is required***

STUDENT GROUP INFORMATION

Fund Code:

Student Organization Name: *

STUDENT INFORMATION

Student Name: *

Email Address: *