Procurement Form




Phone number  
Tier Leader  
Do you have your tier leaders approval to submit this form?   Yes No
Date of Requisition   Calendar
Date item required   Calendar
Recommended Procurement Method   Competitive Sole Source
Suggested Source (Name and contact info)  
Description of Items  
Original Estimate  
Actual Cost  
To be delivered by  
Person to receive items  
Phone (If different from above)  
Additional Comments  

Chairman of Trustees_______________________________ Date: ________  
Co-Chairman of Trustees____________________________ Date: ________  
Chairman of Finance________________________________ Date: ________  
Co-Chairman of Finance_____________________________ Date: ________  
Chairman of Deacons_______________________________ Date: ________  
Co-Chairman of Deacons____________________________ Date: ________  
Bishop __________________________________________ Date:________