Order Request Form - The Gap SHS P&C

Required:*
- Urgent Priority
- Standard
Purchase Order Number*
Date of Request*
MM slash DD slash YYYY
Business Unit*
Your Email*
Expected Delivery Date*
MM slash DD slash YYYY
Freight Costs*
Supplier Name*
Supplier Email*
Supplier Address*
Street Address City State / Province / Region ZIP / Postal Code
Items requested*
Item Description SKU Colour Size Qty $ ea $ Total Received

Please complete all columns
Total cost of order for approval*
Notes:
CAPTCHA

Item Description	SKU	Colour	Size	Qty	$ ea	$ Total	Received