Parts_list.docx

Purchase Request Form

I REQUEST THE FOLLOWING PURCHASE FOR OFFICIAL GOVERNMENT USE TO BE PURCHASED

VIA INTERNATIONAL MERCHANT PURCHASE AUTHORIZATION CARD (GPC)

REQUIRED INFORMATION

NAME OF AGENCY: CVB

ITEM (INCLUDE ITEM NUMBER FROM CATALOG OR WEBSITE): See items listed from 3 sources attached

PURPOSE: Provide incentive items to promote CAF across the installation in collaboration with our helping agencies.

Delivery Address: 4385 Air Depot Blvd Bldg 1002, Rm 124 Tinker AFB, OK 73145-8100

DATE NEEDED: ASAP, justification if not spent after 31 Jul 17

ENDORSEMENT BY APPROVING OFFICIAL OR MANAGEMENT (flight commander): N/A

DATE: 13 Jul 17

OTHER INFORMATION:

Quantity

Agency Request: HP Item: Sleep Mask Description from website or catalog Item Color(s): Royal Blue Item #:

Logo: HP Text (imprint you want): Health Promotions, 405-734-6575 Imprint Color: White

Quantity

Agency Request: HP Item: Fidget Hand Spinner Description from website or catalog Item Color(s): Red Item #:

Quantity

Agency Request: HP Item: Portable Cutlery Set Description from website or catalog Item Color(s): Blue Item #:

Quantity

Agency Request: HP Item: Privacy Camera Cover with Screen Description from website or catalog Item Color(s):

Item #:

Quantity

Agency Request: HP Item: Reusable Sandwich/Snack Bag Description from website or catalog Item Color(s): Blue Item #:

Quantity

Agency Request: MHC Item: Mood Smiley Face Stress Balls Item Color(s): Light Blue Item #:

Text (imprint you want): Glad, Sad, Mad, Afraid? Call 582-6603 Imprint Color: Black

Quantity

Agency Request: MHC

ITEM: Brain Stress Balls Item Color(s): Green Item #:

Text (imprint you want): Got something on your mind? Call 582-6603 Imprint Color: Black

Quantity

Agency Request: MHC

Item: Grenade Stress Balls Item Color: Hunter Green Item #:

Text (imprint you want): Going to blow up? Call 582-6603 Imprint Color: Black

Quantity

Agency Request: FAP Item: On the Go Chargers Description from website or catalog Item Color(s): Purple Item #:

Text (imprint you want): Family Advocacy 405-582-6604 Imprint Color: Metallic Silver PMS877

Quantity

Agency Request: FAP Item: Non-Woven Drawstring Backpacks Description from website or catalog Item Color(s): Royal Blue Item #:

Text (imprint you want): Building Strong Families, Family Advocacy 405-582-6604 Imprint Color: White

Quantity

Agency Request: FAP Item: 11 Ounce Hampton Mugs Description from website or catalog Item Color(s): Royal Blue Item #:

Text (imprint you want): Building Strong Families, Family Advocacy 405-582-6604 Imprint Color: Metallic Silver Gold

Quantity

Agency Request:EO/ADR Item: 3 in 1 Ballpoint Pen and Stylus Keychain Item Color(s): Blue (125), Black (125) Item #:

Text (imprint you want): 72 ABW Equal Opportunity/ADR Program “Making a Difference” EO: (405) 739-7889/ADR: (405) 736-2151 Imprint Color: Silver

Quantity

Agency Request:EO/ADR Item: Aluminum Stylus/Phone Stand Item Color(s): Green (125), Red (125) Item #:

Text (imprint you want): 72 ABW Equal Opportunity/ADR Program “Making a Difference” EO: (405) 739-7889/ADR: (405) 736-2151 Imprint Color: White

Quantity

Agency Request:EO/ADR Item: Atlas Tote Bag Item Color(s): Teal (75), Blue (75) Item #:

Text (imprint you want): 72 ABW Equal Opportunity/ADR Program “Making a Difference” EO: (405) 739-7889/ADR: (405) 736-2151

Quantity

Agency Request:EO/ADR Item: 12 oz Slim Fit Kan Tastic Item Color(s): Camo (100), Blue (100) Item #:

Text (imprint you want): 72 ABW Equal Opportunity/ADR Program “Making a Difference” EO: (405) 739-7889/ADR: (405) 736-2151

Quantity

Agency Request:EO/ADR Item: 24 oz Cool Color Change Bottles Item Color(s): Green to Blue (Blue Lid) Item #:

Text (imprint you want): 72 ABW Equal Opportunity/ADR Program “Making a Difference” EO: (405) 739-7889/ADR: (405) 736-2151

Quantity

Agency Request:EO/ADR Item: 18” Rally Towel Item Color(s): White Item #:

Text (imprint you want): 72 ABW Equal Opportunity/ADR Program “Making a Difference” EO: (405) 739-7889/ADR: (405) 736-2151 Imprint Color: Blue

Quantity 1,000 Agency Request: IDS Item: Key Shape LED Light Up KeyChain Item Color: Blue Item #:

Logo: CAF/CE (300 of CE logo) Text (imprint you want): Tinker Helping Agencies/ 300 of Housing Management Office, 72 ABW/CEIH, 405-582-1977

Quantity

Agency Request: IDS

Item: Micro Rubik’s Cube Key Holders Item Color(s): Multi color Item #:

Text (imprint you want): Tinker’s Helping Agencies Imprint Color: White?

Quantity

Agency Request: IDS Item: Metallic Vinyl Koozie Can Holder Item Color(s): Metallic Blue Item #:

Logo: CAF Text (imprint you want): Tinker Helping Agencies, http://www.tinker.af.mil/About-Us/Tinker-Helps/

Quantity

Agency Request: IDS Item: PopSockets Phone Grip and PopClip Combo Kit Item Color(s): Black base/White top Item #:

Imprint Color: black if on white area, white if on black area

Quantity

Agency Request: IDS Item: Green Tea Caffeinated Lip Balm Item Color(s): Black Item #:

Text (imprint you want): Tinker Helping Agencies, http://www.tinker.af.mil/About-Us/Tinker-Helps/

Quantity

Agency Request: IDS Item: Stylus Pen and Highlighter Combo Item Color(s): Silver and Blue Item #:

Logo: CAF in white Text (imprint you want): 1000 with Tinker Helping Agencies, http://www.tinker.af.mil/About-Us/Tinker-Helps/ 300 with this information (Housing Management Office, 405-582-1977)

Quantity 400-500 depending on cost

Agency Request: IDS Item: Notebooks with attached pen, sticky note tabs and elastic closure Item Color(s): Blue or Black Item #:

Logo: CAF in white

Quantity

Agency Request: IDS Item: Adult Tshirt, Sports Bottle and Drawstring Backpack Kits Item Color(s): Blue Item #:

Logo: CAF in white

Quantity

Agency Request: Housing Management Office Item: 9” x 13” Die Cast Plastic Bags Item Color(s): White Item #:

Logo: CE logo Text (imprint you want): Housing Management Office, 72 ABW/CEIH - 405-582-1977 Text Color: Black