Order Request Part 1 - Who are you? Staff Members Baker, BrianCole, PaulFisher, CharlesHarvey, IanHenderson, RachelHensley, KevinMorales, LorenzoOlsen, TonyPerez, PauloPolson, RandyPritchett, SteveTaylor, RyanVan Devener, BrianVanroosendaal, Amy OR I am not listed Name Email * Phone * uNID * Part 2 - What is the purchase for? Purchase For: Research Lab Teaching Lab Both (75/25) MMC Course - Indicate Instructor and Course Number Other Course Instructor Course Number Details This purchase supports what equipment or process Repair / Maintenance General Supplies Precious Metals University Services Cleanroom Supplies Upgrade Chemicals Supplies for Resale Installation Costs Other Brief Justification: Why is this purchase needed and how will it be used? * Part 3 - From where and from whom are you purchasing? Please provide sufficient information to locate, contact, and purchase from your vendor. Vendor * Company or website name Attention: Representative or salesperson with whom you've interacted Website Vendor Phone Vendor Fax Vendor Email Customer Account Number Quote Number Quotes / Estimates Drop a file here or click to upload Choose File Maximum file size: 419.43MB Upload a quote or estimate from your vendor in PDF format (2 MB max. file size) Is your order over $5,000? Yes If yes, you need to either fill out a Sole Source Request, found at: https://fbs.admin.utah.edu/download/purchasing/UofU%20Sole%20Source%20Request%20Form%20Final%207%202016.pdf ,or give bid information below Part 4 - Items to be purchased Quantity Part No. Desc. / URL Price Total 1. $ $ 2. $ $ 3. $ $ 4. $ $ 5. $ $ Shipping Preference Ground2-Day AirOvernightPick-upDelivery Part 5 - Purchase comments and submission Purchase Comments Please include any additional comments or instructions that will help our administration to approve and process this purchase. Ordered? (For Accounting Staff Only) Yes Order Notes (From Accounting Staff) reCAPTCHA