PROCUREMENT SERVICES - CUSTOMER REQUEST TO: email@example.com Procurement Services Centre UNICEF Supply Division UNICEF Plads, Freeport DK-2100 Copenhagen O Denmark Fax: +45 3526 9421 SECTION A: REQUESTOR All fields in Section A are mandatory ORGANISATION: Type of Organisation Contact Name: Please select Contact Title: Government Address: NGO Telephone: Fax: UN Agency Email: Date: Project Name: Funding Source: Allocated Budget: Have you previously procured via UNICEF? Yes No If known, please specify your UNICEF customer number. SECTION B: LIST OF REQUIREMENTS Please refer to the UNICEF Supply Catalogue - available on-line at http://www.supply.unicef.dk/catalogue for information on the supplies you require. If the supplies you require are not listed in the catalogue please provide detailed technical specifications. UNICEF Unit Item No. Item Description Quantity Material Number (if applicable) If extra space is required please copy extra lines or add to a spreadsheet PROCUREMENT SERVICES - CUSTOMER REQUEST SECTION C: DELIVERY INSTRUCTIONS All fields are mandatory Special Markings: Requested Delivery Date Mode of Shipment (select): SEA AIR Delivery Terms/Place: CIP Incoterms 2000 Named destination: CONSIGNEE: Contact Name: Address: P.O. Box: City: Country: Telephone: Fax: Email: UNICEF Consignee Code: UNICEF Customer Code: Yes SECTION D: SUBMITTING YOUR REQUEST TO: firstname.lastname@example.org Procurement Services Centre UNICEF Supply Division UNICEF Plads, Freeport DK-2100 Copenhagen O Denmark Tel: +45 3527 3527 Fax: +45 3526 9421 For further information, please refer to the Procurement Services web pages. Available information include Frequently Asked Questions, process flows and the supply catalogue.
Pages to are hidden for
"Request Form - UNICEF - UNICEF Home"Please download to view full document