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Date: ___________________

Phi Kappa Psi Pre-Purchase Form

Brother Name: ____________________________________

Committee: _______________________________________

Description of Item(s) Purchasing:__________________________________________________

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Item Estimated Cost Quantity

1
Note: Include all costs including shipping fees. Attach a sheet with proof of estimated cost.

Treasurer Use Only

Money Requested: Approved Denied Insufficient Information

Total Amount Requested: ________________________

Total Amount Approved: _________________________

Comments:

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