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Purchase / Service Authority

PURCHASE / SERVICE AUTHORITY FORM
Consultant :
Client Name :
Department :
Building :
Room Number :
Description Of Goods / Services :
Quote Reference Number (if known) :
Cost Centre :
Fund :
Amount :

Please and have it authorised and then fax it to us at : 5444 7975

AUTHORISATION DETAILS Authority is hereby given to order and supply goods and/or services as described above on behalf of my department/school.
Printed Name :
Signature :
Date :

Content Approved by: Manager, ICT Bendigo
Page maintained by: Online/PC Support Officer
Last Updated: 29 August, 2006