IDPH Request for Promotional Items Form 01.16.25.pdf

PDF 773 KB Posted

Attached to
IDPH Promotional Items Catalog IFB 10 Year
Solicitation number
25-482DPH-FINAN-B-46256
Issued by
Illinois

About this file

The document is a Request for Promotional Items form from the Illinois Department of Public Health (IDPH), designed to facilitate the procurement of promotional materials. The form provides a structured template for departments within IDPH to request and order promotional items, with sections for requestor details, delivery information, item specifications, and vendor quote tracking. The form includes fields for describing promotional items (with options to specify catalog number, color, size, and quantity), special imprinting instructions, and requires approvals from both the Deputy Director and Fiscal Manager.

The form's vendor quote section allows for comprehensive pricing documentation, including manufacturer details, manufacturer model numbers, manufacturer's suggested retail price (MSRP), unit list price, unit discount percentage, and discounted unit price. The document also includes space to calculate subtotal, estimated shipping, and total costs, as well as track anticipated delivery days and quote date. While no specific promotional items are filled in on this template, the form is structured to capture all necessary financial and logistical details for purchasing promotional materials for the Illinois Department of Public Health.

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Text version

Request for Promotional Items

Requested By: Requestor Email:

Unit and Division: Requestor Phone:

Requested By Date:

Deliver To – Name: Delivery Phone:

Unit and Division:

Address, City, & Zip Code

Description (Include Catalog Number, if known) Color Size Quantity

Special Instructions (include imprinting requirements):

Deputy Director (or designee) Approval and Signature

Signature:

Vendor Quote

Description/Catalog Number Manufacturer Manufacturer Model Number MSRP Unit List

Price

Unit Discount

Percentage

Unit Discounted

Price

Subtotal: $ Estimated Shipping: $

Total: $

Anticipated Days to Deliver:

Date of Quote:

Signature:

Fiscal Manager Approval and Signature Signature:

Mike.Caceres Cross-Out

File details come from the government source that posted it. Updated .