Club Supplies/Ordering Proposal

Club/Org Name:*
Requested Item to be Ordered:*
Item # and description:*
Page # if in book:
Website address if online:
Number of items needed:*
Name of store, address/phone #*
Requesting Member Name:*
First Last
Requesting Member Email:*
Club Position:*
Advisor:*
Please provide a description of your item and how its purchase will benefit/fit within the Club/Club’s Mission:*
Proposed Item Total Cost:*
Amount Contributed from your Club’s Budget:*
Amount Requested from SLB Finance Committee: