CCEE FINANCE COMMITTEE 2009-2010

EQUIPMENT REQUEST FORM


  1. Requestor:  _____________________

  2. Lab to benefit:  _____________________

  3. Equipment:  _____________________________

  4. Cost (include taxes and shipping):  ________________________________

  5. Rationale:

    ___________________________________________________________________________________

    ____________________________________________________________________________________

    ____________________________________________________________________________________

    ____________________________________________________________________________________

    ____________________________________________________________________________________

  6. Suggested vendor and current quote (attach quote):  _____________________________

  7. List of courses to benefit:

    _____________________

    _____________________

    _____________________

    _____________________