Office Supplies Request Form
Please plan ahead and leave 1-2 weeks for office supply requests to be fulfilled. If an item is not listed on this form, please order on SpendSmart.
Name
*
First Name
Last Name
What area is your restaurant in?
*
Beloit Area
Rockford Area
Huntley Area
Beloit Area
*
Please Select
94 - Madison Road Beloit
3777 - Burlington
7052 - State St Beloit
15760 - Elkhorn
18383 - Waterford
24666 - Center - Janesville
29838 - Hwy 75 S. Beloit
31419 - Milwaukee Rd Beloit
38131 - Rockton
Rockford Area
*
Please Select
799 - Freeport North
2504 - State St Belvidere
2648 - Eleventh St Rockford
3717 - Rochelle N 7th St
5836 - Mulford Rd Rockford
6275 - Samuelson Rd Rockford
6370 - Kishwaukee St Rockford
6511 - Auburn St Rockford
6746 - Harrison
7101 - Northridge Dr Rockford
7218 - Belvidere Oasis- Belvidere
8149 - Riverside Rockford
10873 - Freeport South
11286 Perryville Rockford
12512 - Roscoe
12931 - Rochelle 2 Ranger Rd
16372 - Chrysler Belvidere
16373 - Machesney Park
19324 - Winnebago
20900 - Charles St Rockford
22424 - Jefferson St Rockford
25668 - Loves Park
26289 - Dempster Rockford
30725 - North Main Blvd Rockford
32257 - Stockton
35667 - Byron
Huntley Area
*
Please Select
3488 - Woodstock
13650 - Marengo
13651 - Algonquin
14013 - Genoa
19354 - Huntley North
22889 - Carpentersville
25899 - Hampshire
34623 - Huntley South
Date
-
Month
-
Day
Year
Date
Email
*
example@example.com
Misc Items Needed
Please select what is needed
Deposit Books (Qty 2)
Paycards (Qty 5)
Archcards/Gift Cards (Qty 50)
Voice Slips
Fry coupons (Parked cars)
EVM BOGs (Qty 25)
Sandwich BOGs (qty 25)
Safe Key- Level 1
Safe Key- Level 2
Toilet Paper Key
Paper Towel Key
Panic Alarm Reset Key
Tool Kit Supplies Needed
Please select what is needed
8” Adjustable Wrench
8” Adjustable Pliers
Allen Wrench Set
Phillips Screwdriver + Flathead Screwdriver
10’ Tape Measure
Chisel
Battery-Powered Flashlight
Office Supplies Needed
Please select what is needed
Envelope (Qty 1 Box)
Red Envelope
Stapler
Staples
Tape
Tape Dispenser
Double Sided Tape
Pens
Pencils
Pencil Sharpener
Highlighters
Sharpies
Counterfeit Pens
Dry Erase Marker
Dry Erase Eraser
Post It Notes
Calculator
Scissors
Rubber Bands
Paper Clips
Binder Clips
Notebook
Clipboard
Hole Punch
Document Protector
"Shop Ticket" Holders
AA Batteries
AAA Batteries
C Batteries
D Batteries
9V Batteries
EnergyBox Batteries (Lithium) 2 per Dot
Band Aids
Burn Cream
Anti-Bacterial Ointment
Do you need printer ink?
*
Yes
No
Do you need tape for your label maker?
*
Yes
No
Please select your label maker.
*
Please Select
Brother
Dymo
Please type anything else you might need.
Submit
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