Hill PTA Purchase Request If you would like the PTA to purchase an item on your behalf, please fill out the form below. Online SubmissionName* First Last Email* Enter Email Confirm Email Phone*Delivery Address* Hill Elementary w/ your name Other Address (List Below) Other Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Account to be debited*If you don't know what account to charge, describe what the purchase is for Itemized Requests*If your invoice reflects more than one account, please identify each and the amount that should be deducted from each. Remember to use the sales tax exemption certificate when purchasing items for PTA use. SALES TAX WILL NOT BE REIMBURSEDItem NameLinkPrice per itemQuantityDate Needed CommentsPlease describe if you have any special circumstances (Must have exact color, required by a certain date or not needed, etc)Upon successful submission of this form, you will receive a confirmation message and an email. If you do not receive this, your form was not successfully submitted. Scroll up to see any error messages or omitted fields. Contact treasurer@hillelementary.com if you have any questions.