Procurement Request


Name
e-mail
Phone number
Ministry
Tier Leader
Do you have your tier leaders approval to submit this form?		Yes No
Date of Requisition
Date item required
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:________