Supplier Visit Registration

All fields are required unless noted otherwise. If you are affiliated with the University, enter your pitt.edu email address.

First Name: Required
Last Name: Required
Enter your @pitt.edu for best results
Email must be in a valid format
Valid formats are (xxx) xxx-xxxx or xxx-xxx-xxxx
University Employee:
Required
University Sponsoring Department: Required
Intended Use of Product-Service:
Required
Account to Charge: ##-#####-####-#####-######-#####-#####
Enter a valid account number
Request Purchasing Representative:
Required
Supplier Visit Comments:
(optional)
Name of Supplier: Required
Name of Representative of Supplier: Required
Supplier Visit Date:
(mm/dd/yyyy)
Enter a valid date
Purpose of Supplier Visit: Required
Location of Visit: Required
Supplier Informed of Training:
Required
Supplier Loaner Samples, Services:
Required
Desc of Loaner Products-Services:
(optional)
Equipment Installed:
Required
Facilities Mgmt Services Required:
(optional)
Services Performed on Univ Property:
Required

Copyright © | Financial Information Systems | Revised: 28-Jul-2014