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CENTRAL STORES STOCK NEW ITEM REQUEST FORM

To request that Central Stores carry a new product, please complete this form.

Note: We can sell only to University of Connecticut Departments and other Connecticut State Agencies.

Name:
Email Address:
Phone Number:
Department:
U-Box Number:
Item Description:
Manufacturer:
Brand Name:
Model Number:
Size / Color:
Previous Supplier:
Substitutions acceptable? (If not, why not?)
Stock # of item replaced (if any):
Estimated annual demand:
Usual order quantity:
Other departments using this item:
May this item be special ordered? (Not a regular stock item)

TO SEND THIS FORM ONLINE, CLICK THE SEND BUTTON:

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Central Stores
3 North Hillside Road, Unit 6114
Storrs, Connecticut 06269-6114
Phone: 860-486-3626
Fax: 860-486-3061