Construction Equipment Requisition Form
Gothic Landscape
Construction Division
2526 E. Southern Ave
Phoenix AZ 85040
(*) Required Field
Requisitioned by
*
Email Address
*
Required
@gothiclandscape.com
Required
Date
*
Job #
*
Required
Job Name
*
City
Required
Phase/ Track #
Lot #
Directions to Job Site/Address
*
Required
Onsite Contact
*
Required
Onsite Contact Phone Number
*
Required
Is this a transfer from one job to another?
-- Select One --
No
Yes
Required
If yes, please provide what job it is coming from, where it is going and what date it needs to be taken
Required
IS THIS A JOB EXTRA?
*
-- Select One --
No
Yes
Required
Extra billed on AWA
Request Type:
*
-- Select One --
Rental
In House
Required
Date Needed
*
Time Needed
*
Job Site, Yard or Will Call
*
Required
Required
-- Select One --
Job Site
Will Call
Yard
Required
Days Needed
Equipment Needed
Send for Approval to:
*
Francisco Flores
Mark VanBlarcom
Alberto Rodriguez
John Gordon