Duxbury Education Foundation - Request for Grant Purchase by Grant Committee

SUBMITTED BY GRANT LIAISONS ONLY

Instructions:

Please fill out completely with description purchase to be made.
Attach purchase orders or invoices as a PDF file. Keep original copy.
Click Save and Continue at bottom of form to submit.
The DEF Treasurer and Grant Coordinator will receive an email of your request.
A receipt of your submitted request will be e-mailed to you. Please keep for your records.


Contact Information
Grant Committee Liaison Name Grant Committee Liaison Email Address Grant Committee Liaison Phone Number

Grant Information
Title of Grant Date of DEF Trustee Meeting of Grant Approval Date Needed Date that grant is needed or ASAP. Grant Recipient First and Last Name Grant Recipient Email Address

Request to Mail Check to VENDOR with PO/Invoice
Vendor Name/Company Check Made Payable to: Address to Mail Check Check Amount Description of Purchase Attach Invoice or Purchase Order Attached invoice or purchase order file. Keep original. Attach Additional Invoice or Purchase Order Attach additional invoice or purchase order file (if needed). Keep original. Name of Shipping Recipient (if applicable) Person receiving order shipment at the school (ex. name of contact at the school office or ship directly to the teacher) Shipping Address (if applicable) (reset) Chandler School (93 Chandler Street) Alden School (75 Alden Street) Duxbury Middle School (71 Alden Street) Duxbury High School (71 Alden Street) Other (note below) Payment Due Date (if applicable) Ordering Notes

Request for Online Purchase
Vendor Name Vendor/Company Website Link Total Order Amount Itemized List of Items to Purchase Provide itemized list of what to purchase including DIRECT LINKS to each product and include quantity needed. Attach Invoice or Purchase Order Attached invoice or purchase order file. Keep original. Attach Additional Invoice or Purchase Order Attach additional invoice or purchase order file (if needed). Keep original. Name of Shipping Recipient (if applicable) Person receiving order shipment at the school (ex. name of contact at the school office or ship directly to the teacher) Shipping Address (if applicable) (reset) Chandler School (93 Chandler Street) Alden School (75 Alden Street) Duxbury Middle School (71 Alden Street) Duxbury High School (71 Alden Street) Other (note below) Date Needed Provide specific date needed if applicable. Ordering Notes

Request for Amazon Wishlist Purchase (PREFERRED)
Link to Amazon Wishlist Amazon Wishlist should include ALL shipping information including recipients name, address and phone number.

Request for Amazon Purchase
Name of Shipping Recipient Shipping Address (reset) Chandler School (93 Chandler Street) Alden School (75 Alden Street) Duxbury Middle School (71 Alden Street) Duxbury High School (71 Alden Street) Other (note below) List of Amazon items to purchase Please include ALL ordering information including quantity.

Treasurer
Treasurer Notes