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District Equipment Purchase Request
"
*
" indicates required fields
Name
*
First
Last
Email
*
Item Requested
*
When Applicable Include: Manufacturer, Model, Size, & Part Number
Vendor
QTY:
*
Purpose
*
Asset Location
*
Would the item be purchased on State Bid?
*
No
Yes
Unknown
Can a similar product be substituted?
*
Yes
No
Why can't a similar product be substituted?
*
Compatibility - Needs to connect with existing hardware/software
Continuity - Matches existing in service item
Quality - Considered best built product for the job
Other (Describe Below)
Other Reason for No Substitutes
*
Cost
Has the requester obtained any quote(s)?
*
Online Pricing, Verbal Quote, or Written Quote
Yes
No
Quote #1
*
Please enter a number from
0.01
to
999999.99
.
Source of Quote #1:
*
Quote #2
Please enter a number from
0.01
to
19999.99
.
Source of Quote #2:
Quote #3
Please enter a number from
0.01
to
19999.99
.
Source of Quote #3:
Attach Any Supplemental Documentation
i.e. Written Quotes, Manufacturer/Vendor Docs
Drop files here or
Select files
Max. file size: 200 MB.
Δ
News
About
Fire Headquarters History
Response Stats
Leadership
Westhampton Beach Fire District
Ex-Chiefs
Apparatus
Current Apparatus
Retired Apparatus
Junior Fire Company
Contact
Join
Apply Today
FAQ
Resources
Knox Box
Blue Emergency Lights
Links
Safety
Featured Fire Safety Topics
Seasonal Fire Safety Topics
Fire Safety Topics By Audience
More Fire Safety Topics
Donate
Apply Today
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