Purchasing Request Form Request InformationDate* Name* First Last Department or Location*SelectArt and Art History DepartmentBallard Institute and Museum of PuppetryBenton Museum of ArtConnecticut Repertory TheatreContemporary Art GalleriesDean's OfficeDigital Media and DesignMarching BandNutmeg Summer SeriesDramatic ArtsJorgensen Center for Performing ArtsMusic Departmentvon der Mehden Recital HallDoes this purchase have pre-approval?*YesNoWhich budget is this purchase coming from?*Is this an individual purchase request or one of many requests associated with a project?*An individual purchasePart of a projectGood or Services to be Purchased*Please select all goods or services for purchase. NOTE: If you wish to purchase computer hardware, please use the IT Equipment Purchase Request Form, found at http://sfa.uconn.edu/it-purchase-request-form/ Dues Fees (Professional, Conference Registration) Rentals (Car services, Buses, Tables/Chairs) Professional Services (Adjudicators, Guest Artist, Designer, Consultant, Composer, Performer, Machinery Repairs, Catering, Advertising) Professional Printing (Non-UConn) Subscriptions Supplies (Educational, Promotional, Books, Lab, Office) UConn Services (Repairs, Catering, Advertising, Laundry, Printing) Furniture / Fixtures Other Please specify the good or service.*Link to Website*Upload Quote 1 here*Purchase will not be processed without three quotes.Accepted file types: pdf, docx, doc.Upload Quote 2 here*Purchase will not be processed without three quotesAccepted file types: pdf, docx, doc.Upload Quote 3 here*Purchase will not be processed without three quotesAccepted file types: pdf, docx, doc.Vendor Name*Name of companyVendor Phone NumberVendor EmailAdditional vendor(s)?*YesNo2nd Vendor's Name2nd Vendor's Phone Number2nd Vendor's Email3rd Vendor's Name3rd Vendor's Phone Number3rd Vendor's EmailPurpose of RequestBrief Request Description*Please provide a short description for your request (5-6 words maximum).Full Item(s) Description*Please be as detailed as possible.If you have attachments to show, please add here Drop files here or Accepted file types: pdf, docx, doc, jpg. Date of Purchase Needed*Processing lead times will vary. Please see the Purchase Request Flowchart for reference to general purchasing timelines. Amount of Total Purchase Request*Actual or estimate value accepted.