Use a future date to indicate the DATE PAYMENT IS REQUIRED. If the field is blank, that will indicate that the purchase was made in "Today's Date". Please use the correct purchase date for matching credit card billings.
Be sure and include complete address if this is a reimbursement (unless for yourself). If check is for services rendered then you will also need their social security number or their W-9 form.
Will these items be "resold" or will funds from other sources go against this purchase in the form of a credit at a later time?
Please print your email confirmation form and have your line administrator sign before turning in.