USC FULL-TIME Office Supplies Request Form

Your Name Your Name First Last
Your @westernusc.ca email
Phone Phone - ### - ### ####
Extension
Dept. Manager
Current Date Current Date / MM / DD YYYY
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please indicate the address that you would like the office supplies shipped to.
Pens/Pencils

Pens/Pencils #55050 Basics stick pen (black): Box of 12 available in other colours, $2.36/ box #82229 Zebra Sarasa Gel (black): Retractable, available in other colours, $2.36 each #55428 Sharpie Pen (black): Package of 4, availble in other colours, $7.36/ Package #53550 Basics HB Pencils, Box of 12, $2.69/ Box #86007 Sharpie No.2 Mechanical Pencil, 0.7mm lead, $0.99 each #53997, Staedtler single-hole sharpener, $2.49 each Other Other
Quantity/ Colour (if applicable) of product number(s):

If you select multiple product numbers for pens/pencils please indicate the product number and the quantity after.
Markers/ Highlighters

Markers/ Highlighters #43991 Sharpie Fine Marker: Black, Red, Green or Blue, $2.29 Each #43122 Sharpie Flip Chart Markers, Pkg of 4 includes black, red, blue and green, $7.99/ Package #80002-80008 Berol Highlighter: Blue, Yellow, Pink or Green, $0.79 Each Other Other
Quantity/ Colour (if applicable) of product number(s):

If you select multiple product numbers for markers/highlighters please indicate the product number and the quantity after.
Whiteboard Supplies:

Whiteboard Supplies: #43118 Expo Dry Erase Marker Kit: Includes 4 markers, eraser and cleaner, $15.99/ Package #43226 Expo Dry Erase Fine Point: Black, Red and Green, $9.49/Package #43087 Expo Dry Erase Marker (chisel): Please indicate colour needed, $2.99 #05174 Basics Dry Erase Fine Point: Black, Red, Blue or Green, $7.49 / pkg #43225 Expo Dry Erase Marker (Fine): Indicate the colour needed, $1.29 Each #05427 Basics Whiteboard Eraser, $3.15 Each #05960 Expo Whiteboard Cleaner, $4.99 Each Other Other
Quantity/ Colour (if applicable) of product number(s):

If you select multiple product numbers for whiteboard supplies please indicate the product number and the quantity after.
Paper:

Paper: #051047 Domtar Copy Paper (Letter), $10.99 Each Other Other
Quantity/ Colour (if applicable) of product number(s):

If you select multiple product numbers for paper supplies please indicate the product number and the quantity after.
Filing/ Storage Items:

Filing/ Storage Items: #24079 Basics File Folders (Letter): Box of 100, $25.99/ Box #24084 Basics File Folders (Legal): Box of 100, $28.99/ Box #23056 Basics Recycled Storage Box: Package of 6, $37.99/Package #24186 Basics Hanging File Folders (Letter): Box of 50, 43.99/Box #24185 Basics Hanging File Folders (Legal): Box of 50, $54.99/Box Other Other
Quantity/ Colour (if applicable) of product number(s):

If you select multiple product numbers for filing and storage items please indicate the product number and the quantity after.
Stapler/Staples:

Stapler/Staples: #69074 Swingline Standard Stapler Value Pack: Includes box of staples and staple remover, $22.99 Each #69157 Basics Staples, $2.79 Each Other Other
Quantity/ Colour (if applicable) of product number(s):

If you select multiple product numbers for stapler/staples items please indicate the product number and the quantity after.
Tape/Paper Clips

Tape/Paper Clips #70114 Basics Invisible Tape 1/2", $4.49 Each #12018 Acco Jumbo Paper Clips, $2.29 Each #12022 Paper Clips (Regular), $1.79 Each #12004 Westcott Fold-back binder clip (9/16"): Box of 12, $1.89/Box #12000 Westcott Fold-back binder clip (3/4"): Box of 12, $2.39/ Box #70089 Scotch shipping tape (48mm x 50m) Clear, $5.49 Each #70070 Basics Glue Stick 9g, $1.79 Each Other Other
Quantity/ Colour (if applicable) of product number(s):

If you select multiple product numbers for Tape/Paper Clip items please indicate the product number and the quantity after.
Notebooks:

Notebooks: #59002 Hillroy Executive Coil Notebook (80pg): 10 1/2"x8", $2.29 Each #49047 Ampad Perforated Pad-Ruled: 50 sheets/pad, $.49 Each #59116 Blueline Hard Cover Notebook (black): 9"x 7 1/4", $13.99 Each Other Other
Quantity/ Colour (if applicable) of product number(s):

If you select multiple product numbers for Tape/Paper Clip items please indicate the product number and the quantity after.
Self-Stick Items:

Self-Stick Items: #49029 Post-it 4"x6" lined yellow: 100 sheets, $6.99 Each #49034 Basics 3"x3" pads: $1.08 each Other Other
Quantity/ Colour (if applicable) of product number(s):

If you select multiple product numbers for Self-Stick items please indicate the product number and the quantity after.
Correction Items:

Correction Items: #19056 White-Out Correction Tape, $4.49/Each Other Other
Quantity/ Colour (if applicable) of product number(s):
Batteries:

Batteries: #45974 Duracell AA: Prices vary #45527 Duracell AAA: Prices vary Other Other
Quantity of Batteries:

If you select multiple product numbers for Batteries please indicate the product number and the quantity after.
Toner: (Please provide the specifics of your toner needs- toner product# or printer brand and number)
If you would like an office supply that is not listed above please indicate so with a link to the request supply:
Any Additional Information or Comments
Total Price of Order $ Dollars . Cents
Please add up the total prices of all the items you have selected to provide a rough estimate of the total price of your order.
Your manager must approve your office supply request. Your manager will submit a copy to you and Karen once the request has been approved.
Number

USC FULL-TIME Office Supplies Request Form

USC FULL-TIME Office Supplies Request Form

Your manager must approve your office supply request. Your manager will submit a copy to you and Karen once the request has been approved.