DEPARTMENTAL WISH LIST

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APPLICATION

NOTE: YOU WILL NEED A SEPARATE APPLICATION FOR EACH REQUEST.

NAME

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TITLE

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DIVISION/DEPARTMENT

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CAMPUS             PHONE #

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EMAIL

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REQUEST - Please Describe:

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WILL/CAN YOU ACCEPT RECYCLED/SECOND HAND DONATIONS?

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      YES       NO

( Any donations of moveable property must be accepted in accordance with the College’s Donations of Moveable Property policy, which requires property donations to be inspected and accepted with your signature. The Donation of Movable Property Form (Form 3050/001) must be completed and filed for all moveable property donations, regardless of value. Your department is responsible for maintaining the property in accordance with the College’s Management and Control of State Property policy.)

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ESTIMATED COST (NEW)

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CATALOG

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ITEM #           QUANTITY    

Thank you for your application.

You will be contacted if additional information is needed.

Your request will be added to THE DEPARTMENTAL WISH   LIST BOOK .  

The Departmental Wish List Book is sponsored by Your Resource Development Office.

Form 3050/002 (12/04)

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