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Northwest Missouri State University


Request for Vendor/Item Action Form

Member Information
Name:
Contact Person:
Phone:
Email:
Vendor Information
Vendor Name:
(on receiving/P.O. copy)
Item # and Description:
Check All That Apply :
Late delivery
Unauthorized substitution
Poor quality/workmanship
Failure to respond promptly to service calls
Failure (or slow) to replace damaged goods
Unacceptable over shipment
Shortage(s) in delivery
Incorrect invoicing
Failure to meet specifications
Wrong item shipped
Cancel due to late delivery
Damages
Failure to sort items by department
Other
Comments: