ERROR:
JavaScript is not enabled. You must enable JavaScript in your browser to use this form
Please fill in a valid value for all required fields
Please ensure all values are in a proper format.
Are you sure you want to leave this form and resume later?
Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.
Save and Resume Later
Save and get link
You must upload one of the following file types for the selected field:
There was an error displaying the form. Please copy and paste the embed code again.
Apply Discount
You saved
with code
Submit Form
Submitting
Validating
There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.
Please check the field:
Fields
General Information
MAE Purchasing Form
Name:
*
First Name
*
Last Name
*
Email
*
Category of Purchase
*
Start Up
ABET Lab Spending
RF
IFR
UBF
Select Program Support Specialist
*
Stephen Hart
Michael Bellotti
Tom Shifflet
Purchase Information
Account Number to be charged:
*
If Start Up, which fund:
*
If ABET Lab Spending, which plan item:
*
Total Expected Cost of Purchase:
*
Justification Question 1: What specifically will the purchase be utilized for?
*
Justification Question 2: How does UB/SEAS benefit from this purchase?
*
Justification Question 3: Justification for why the purchase should not be delayed.
*
Vendor
*
McMaster-Carr
Amazon
Thorlabs
Other:
Other Value
Amazon Wish List
*
Please include the link to your Amazon wish list
McMaster-Carr order link
*
Please include the link to your McMaster-Carr order
If Thorlabs, does the quote contain MAE code 238950 and is it attached to this form?
*
Yes
No
Thor Labs Quote
*
No File Chosen
File uploads may not work on some mobile devices.
Please obtain a proper quote before submitting your request.
Other: Please provide link to the order
*
Other: Please provide link to the order
*
Other: Please provide link to the order
*
Other: Please provide link to the order
*
Do you have a quote?
*
Yes
No
Upload Quote
*
No File Chosen
File uploads may not work on some mobile devices.
Link to Cart / Item
If purchase is over $2,500, please attach 2 competitive quotes or a sole/single source justification
No File Chosen
File uploads may not work on some mobile devices.
If purchase is over $2,500, please attach 2 competitive quotes or a sole/single source justification
No File Chosen
File uploads may not work on some mobile devices.
If purchase is over $10,000, please attach 2 competitive quotes or a sole/single source justification
No File Chosen
File uploads may not work on some mobile devices.
If purchase is over $2,500, please attach 2 competitive quotes or a sole/single source justification
No File Chosen
File uploads may not work on some mobile devices.
Comments / notes
Additional Purchase Attachments
No File Chosen
File uploads may not work on some mobile devices.
Previous
←
Next
→
Powered by Formstack
Create your own form
›
Enter your save and resume password
Cancel
Confirm