Online Surplus/Stock Chemical Order Form

The on-line order form process has been experiencing some technical problems. Until these are resolved, please send an e-mail message to me in lieu of the on-line form. I need the following information: Room # where chemicals will be stored, account #, barcode tag # (if known), description, quantity, and unit of measure. Thanks.

-Jennifer


To order chemicals from the Natural Science's Surplus Chemical Inventory and/or to order stocked chemicals please fill out the following form. The items will be delivered to your department office.

Date:

Name:

Building and Room # (where items will be used or stored):

Account #:

Tag # (from surplus chemicals inventory), Description, and desired Quantity/Unit of Measure:

1:

2:

3:

4:

5:

6: