Equipment Purchase Request Form

Please fill out all questions on this form.

* is required

Zip

Name *

Last Name

Email *

Name of your Department Manager *

Ginna Nicolas

Talia Richards

Laura Creech

Anna Burke

What type of equipment are you requesting the library purchase? *

Printer / Copier / Shredder

Computer / Monitor / Charger / Back Up Drive

Fans / Personal Heaters / Lamps

Break room supplies: Microwave / Coffee Maker / Toaster Oven

Smart Board / White Board

A/V: Television / DVD Player / Speakers / Camera / Microphone / Projector

PPE: Gloves / Masks / Personal Face Shields

Cleaning: Solution / Spray Bottle / Cloths

Hand sanitizer / Sanitizing wipes

Please include a link to the exact item you want.

Does the library already have this equipment? *

Yes, but another is needed

Yes, but it is broken / on its last legs

No, the library does not have one

If what you want to request is software, please specify what you want and the version

Please state the reason for your request. Be as detailed as possible. *

Unless this is personal safety equipment, you are required to find 3 competitive quotes for the equipment you want to request the Library purchase. Please include the 3 figures you found and include the links to where they can be purchased. *

Is there a deadline for when you would need to have the equipment in the library? If the answer is No, leave this blank. If the answer is yes, please specify the date.

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