Single Source Procurement Request/Order Form

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Request a Quote or Place an Order

This is Single Source Procurement's online order form. To request a quote or place an order for up to eight separate items with us, just use this one form!

Orders: If you want to place an order, select the "Place an Order" button below. SSP will then contact you with your order confirmation, billing information, and the estimated delivery date.

Quotes: If you would like a quote select the "Get a Quote" button below. SSP will contact you with the price of your items. Then you can decide if you would like to place an order through SSP.

Fields marked with an * must be filled in to send your order or quote. Also, when entering the suggested price do not include $ signs. Decimals for cents are fine such as .95. Do Not Hit the “return” after entering the the numbers to get a total as the calculation is automatic. If the return key is used you will go directly to your web browser before you have completed your order or quote entries.

If for some reason you decide to leave the order/quote page and try to come backlater, your entires will not be saved and you will have to start over again.

 
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The intent of this request is to: Place An Order /// Get A Quote


 
Select an SSP Supplier
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Enter Your Own Supplier
Catalog Number
* Description of your item
* Quantity
Suggested Price for Each
Total Price
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After entering the above information. Press the Submit button. The data you entered will be validated and then sent by email to Single Source Procurement. You may have to activate the Send button in your e-mail browser to send the quote/order on its way.......