Covenant Churches of East Texas - Purchase Order Request Form

First Name

Last Name

Email

Phone Number

Campus
Rusk Cushing CCOET

Write a Brief Description of the Item your Requesting and it's Purpose

Has this Been Approved by the Department Leader?
Yes No

Department Leader's Name

What Vendor/Store/Company will the Purchase be Made?

Total Cost

When Does this Need to be Purchased?

Is there a Recurring Fee Involved?

If This is Not a One Time Purchase, Please Provide Payment and Contract Terms Here

Purchase Order Request