Custom Ordering Instructions and Order Form



  • Name of Order Recipient/ Contact Person
  • Campus Address
  • Campus Phone & Fascimile
  • E-Mail Address
  • Valid University Account Number
  • The Account's Principal Investigator
  • Detailed Description of Item Desired

  • Manufacturer's Name
  • Manufacturer's Part Number
  • (When Referencing a Catalog) Catalog Name
  • Catalog Part Number
  • Always Include Quantity Desired
  • Always Include a Detailed Description of the Item Noting (ie.)Color, Shape, Size, Capacity, Amps, Voltage, Specifications



  • Name or Recipient
    Campus Address
    Phone & Fax
    E-Mail Address
    Account Number
    P. Investigator

    Special Instructions:


    Deliver To Recipient
    Pick-Up (104 Allen Hall)