Quick Order UNDER $5,000.00
Tax Exempt No. ES40706
No.  Financial services counter
Date:
Deliver To:
UW-Whitewater
Vendor:
(Dept./Room No.) 
Address:  
800 W. Main Street
Whitewater, WI  53190
 
Vendor Fax: 
 
Vendor Phone: 
   
Bill to:
UW-Whitewater
PO Box 296
Whitewater, WI  53190
Requested By:    Phone:  (262) 472-
Fund
Program
Organization
Project
Account
Amount
Authorized Signature
     
     
     
     
(Please Manually Add) Total  
Invoice Terms:
Comments:
 
Check with order: Please attach items to be sent with check

Qty
Unit
Catalog Number & Item Description
Unit Price
Ext Total
(Please Manually Add) Total