NEC

Building 34500
245 O'Club Drive
Fort Gordon, GA, 30905

Tel: 706.791.5493
DSN: 780.5493

Hours of Operation:
Mon-Fri 0700-1700
Closed on Federal Holidays

 

Purchase Request Order Form -

Please be sure to fill out this request completely, and accurately to avaid any delays in your request.

POC :

Telephone # :

Office Symbol of requesting activity :

Organization Name :

FAX Number :

Item and Model Number :

Cost Per Item :

Total Cost :

Quantity :

Supplier : (NTE $3000 per supplier)

Brief Justification: