Purchase Request Form

If you would like the PTA to purchase an item on your behalf, please fill out the form below.

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

Delivery Address(Required)

Hill Elementary (to your attention)

Other Address

Other Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Account to Be Debited(Required)

If you don’t know what account to charge, please describe what the purchase is for

Itemized Requests(Required)

Item Name

Link

Price/Item

Quantity

Date Needed

If your invoice reflects more than one account, please identify each and the amount that should be deducted from each. Remember to use the sales tax exemption certificate when purchasing items for PTA use. SALES TAX WILL NOT BE REIMBURSED

Comments

Please describe if you have any special circumstances (must have exact color, required by a certain date or not needed, etc.)

Upon successful submission of this form, you will receive a confirmation message and an email. If you do not receive this, your form was not successfully submitted. Scroll up to see any error messages or omitted fields.
Contact treasurer@hillelementary.com if you have any questions.

Name

This field is for validation purposes and should be left unchanged.