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North Central Texas Council of Governments
Regional Storm Water Program
FY09 Cooperative Purchase Order Form
Order Deadline: January 30, 2009
To maximize group savings for current program participants, the Storm Water Regional Program will conduct one
purchase annually of the following items: pollution prevention training video, bookmarks, curb markers, brochures, dog
waste dispensers, and reusable bags. Our goal is to combine as many orders possible to achieve the lowest unit cost
for program participants. To participate in this cooperative purchasing opportunity, you must be a current member of
the Regional Program. Exceptions may be made for non-participants at a higher unit cost. To find out your participation
status, please go to htto:/Iwww.nctcoq.orq/envir/SEEclean/stormwater/oarticioants.aso
The final cost of your order will also include any bulk shipping and handling costs of the total bulk order delivered to
NCTCOG. The estimated costs per unit are based on past purchases and are quoted below for guidance only;
NCTCOG cannot guarantee the final price until all orders have been collected, and the final bulk price confirmed with
vendors.
Staff will send an email prior to submitting the order notifying you of the final unit price based on all orders received.
Should the unit price greatly exceed the cost estimate, participants will be given the option to purchase at a higher cost
or decline the order. NCTCOG will invoice you after the orders arrive.
Submit order form to: Erin Blackman via fax 817-695-9191, email eblackman@nctcoq.orq, or mail to NCTCOG
Environment & Development (AUn: Erin Blackman), P.O. Box 5888, Arlington, TX 76005-5888
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o I will pick up my order at NCTCOG offices.
;ev Please mail my order (Additional mailing costs will apply).
Payment Method (you will be invoiced after your order arrives)
o Mastercard or Visa: Expiration Date
o Check (Made payable to NCTCOG)
Card number
By signing this lonn you rr=io render due payment to NCTCOG upon invoicing.
Signature:~ ""^ J-.- Date: I . ~ 0 - 't
November 2008