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Purchase Request Form

This form is used by the Department of Human Development Nursing Science for purchases that follow the Illinois Procurement Code and University policies and procedures. Please allow up to two (2) business days to complete the purchase request.

# Of Items	Order Number	Description	Unit Price	Total

Title	ISBN	Quantity	Unit Price	Total

Renewal Period Date	Cost of Membership	Membership Start Date	Membership End Date

Name of Conference	Date(s) of Conference	Conference City, State	Confirmation Number (If applicable)

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College of Nursing

Purchase Request Form

Purchase Request Form Heading link

Follow this link to refer to your department's C-FOPs

Supplies, Equipment, Etc.

Please log in or create an account on the vendor's website and save items to the cart before answering the following questions.

Books

Please log in or create an account on the vendor's website and save items to the cart before answering the following questions.

Services (Consultant, Transcriptions, Etc.)

Membership

Conference Registration (ONLY)

You must log into your account to enter all required information (credentials, personal info, etc.) needed to renew membership, then complete the following for payment.

Travel (Airfare, Conference and Hotel)

Before you begin your request, the following information is required to complete your request:

Conference Details

Dollar Amount	C-FOP

Cost of Registration	Type of Membership (Member/non-member)	Dietary Restrictions

Extra Event You Want to Attend	Extra Fee for Event

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Purchase Request Form

Purchase Request Form Heading link Copy link

Follow this link to refer to your department's C-FOPs

Supplies, Equipment, Etc.

Please log in or create an account on the vendor's website and save items to the cart before answering the following questions.

Books

Please log in or create an account on the vendor's website and save items to the cart before answering the following questions.

Services (Consultant, Transcriptions, Etc.)

Membership

Conference Registration (ONLY)

You must log into your account to enter all required information (credentials, personal info, etc.) needed to renew membership, then complete the following for payment.

Travel (Airfare, Conference and Hotel)

Before you begin your request, the following information is required to complete your request:

Conference Details

Purchase Request Form Heading link