Purchase Request Form

What type of purchase request is this for?*

Select the most appropriate request type. If the type is not listed, please type it in

Select or enter value

Enter your email address*

Enter your name:*

You will receive a copy of the PO and are responsible for letting the purchasing team know when it is received.

Urgent Order*

Yes

Business Justification*

Provide a business justification for this purchase

Index*

Vendor*

If the vendor is not in RealSource a W9 will be requested.

After the W9 is received and processed then the order can be placed.

Submit new vendor W9s to masseyorders@vcu.edu.

Link to the W9 form

Location Delivery Address

Goodwin Research Lab (401 College Street, Richmond, VA 23298)

Massey Building (401 College Street, Richmond, VA 23298)

MMEC 11th floor (1201 E Marshall St., Richmond, VA 23298)

MMEC 12th floor (1201 E Marshall St., Richmond, VA 23298)

VMI 4th floor suite (1000 E Marshall St., Richmond, VA 23298)

Other

Delivery Address

Order Information

Single line order: Enter details below.

Multiple line order: Complete and attach Massey Order Form below

Enter the catalog # or item description

Please include catalog/item # and a description of the item

Quantity

Price

Upload a copy of the Order Form or associated file

Order: Attach a copy of the Massey Order Form, if requesting multiple line orders. It must include line by line order details.

Invoice: Attach a copy of the invoice

Contract: Attached a copy of the contract to review

Vendor Quote: Attach a copy of the vendor quote

Honorarium, Stipend/Direct Pay, or ICA: Attach a copy of the associated forms

Drag and drop files here or

Send me a copy of my responses