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Department of Chemistry | About | Online Forms | Procurement Request

About

Procurement Request

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Please check the Chemstores catalog before placing your order.

View the catalogue

This form will be emailed to the Chemistry Requisitioning Office upon submission. Inquiries regarding order modifications or placement should be directed to chemreq@indiana.edu. If you have any questions regarding website submissions, please reference our compiled documentation of standard operating procedures, CSOP101- General Purchasing Guidelines..

Requestor Information

Name:*
Phone Number:
Email:*
Email CC:
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Affiliation:*

Office/Group, not just department.

Account(s):*
Add More

Identify account distribution here, if applicable. Please use either dollar amounts or percentages.

Vendor Information

Name:*
Address:
City:
State:
Zip:
Phone:
Fax:
Contact:*
*One preferred vendor per request, please

Purpose

Will items be used to construct equipment?*

 
Fabrication Number:*

Are item(s) in this request a new equipment purchase?*

 

Will items be used to repair existing equipment?*

 
IU Tag Number:*

Will items be used to upgrade existing equipment?*

 
IU Tag Number:*

Order Details

Quantity Catalogue or Item Number Description/Specs Unit Price Unit Total Price
ORDER TOTAL
Add Item

Comments/Instructions:

Attachments:

Hold Ctrl (Windows) or Cmd (Mac) to select multiple files.
Submit Order
If there are any problems with this form, please contact ITG.
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