Purchase Order Request — Immaculata-La Salle

Request

Vendor

Order

Review

📋 Request Information

Basic details about who is submitting this purchase order.

Date of Request *Required

Date Required *Required

Requested By *✓ From Microsoft accountRequired

Email Address *✓ From Microsoft accountRequired

Department * Required

Financial Account *

▼

Required

🏢 Vendor Information

Who are you purchasing from?

Payable To / Vendor Name *Required

Quote Number

Vendor Street Address *Required

City, State, ZIP *Required

Stock Number(s)

Payment Terms * Required

Ship To

📦 Order Details

Describe what you're ordering and the costs involved.

Order Description * — be specific about items, quantities, and purpose Required

Subtotal *

Required

Shipping & Handling

Additional Charges

Grand Total$0.00

Supporting Document * — PDF only

📎

Click to upload or drag & drop

PDF files only · Max 10MB

A supporting PDF document is required

✅ Review & Submit

Please review your purchase order before submitting.

Tax Exemption Certification * I certify that I have provided the Tax Exemption Certificate to the vendor prior to submitting this purchase order. You must certify the tax exemption before submitting

🎉

Purchase Order Submitted!

Submitted

Your request has been received and sent to Finance for approval. You'll get an email confirmation shortly.

Approvers: Marlen Medina & Katya Ore · Finance Department