Purchase Request Form

 

Date submitted:

Name of purchaser:

Reason for purchase:

Itemized budget/Total requested: __________________________________________________________

__________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

 

Maximum amount allowed:

 

Signatures:

Purchaser: ________________________________________

Board member: ____________________________________

                             ____________________________________ (print name)

Witness:             ____________________________________

                             ____________________________________ (print name)

 

 

 

 

*Receipt must be attached to document for treasurer purposes.