Hardware Order Request Form

Enter your information below and then click the "Generate Order Form" button below.

Instructions

This will open a separate window with detailed instructions for completing this order form.

Order Details & Contact Information

Items in bold indicated required fields.

Order Details

Vendor Name:

Choose your Campus Purchase Order Numbers: UTK Campus Non-UTK Campus *

For UT Campus' the Blanket Purchase Order number will automatically be developed. It will appear on your created order form.
IF NON-UT CAMPUS, enter Purchase Order number here:

* If you use the UTK Campus Purchase Order Numbers, then you should choose "UT Campus", even if you are not physically located on campus. You only need to choose "Non-UT Campus" if the P.O. number you use is different from the UTK Campus P.O. Number.

Departmental Order Personal Order

Departmental Account Number to be charged (If Departmental Order choosen above):

Contact Information

Contact Person:

Name
Phone  
E-mail **
Fax  
** (If you do not have an e-mail address enter "none" without the quotation marks.)

Ship To Address:
University
Department (required)
Street Address (required)
Room Building (optional)
City
State
Zip
Attention
  
Bill To Address(Please do not use same):
University
Department (required)
Street Address (required)
Room Building (optional)
City
State
Zip
Attention

Certification: For any item of equipment costing $1000.00 or more, purchased under federal grant: I certify that the appropriate approvals and screening requirements have been complied with. This requirement is % federally funded.

Name of Authorized Signature:

Hardware Equipment to be Ordered:

Line Item 1
Quantity
Part Number
Description
Unit Price
If this is the last item in your order, finish ordering now.
Line Item 2
Quantity
Part Number
Description
Unit Price
If this is the last item in your order, finish ordering now.
Line Item 3
Quantity
Part Number
Description
Unit Price
If this is the last item in your order, finish ordering now.
Line Item 4
Quantity
Part Number
Description
Unit Price
If this is the last item in your order, finish ordering now.
Line Item 5
Quantity
Part Number
Description
Unit Price
If this is the last item in your order, finish ordering now.
Line Item 6
Quantity
Part Number
Description
Unit Price
If this is the last item in your order, finish ordering now.
Line Item 7
Quantity
Part Number
Description
Unit Price
If this is the last item in your order, finish ordering now.
Line Item 8
Quantity
Part Number
Description
Unit Price

Intended only for the use of faculty, staff and departments of the University of Tennessee.