Campus Labs Billing Information Form Relevant Information for Procurement/Finance
Primary Contact Information
Institution Name:Kentucky State University
Primary Contact:Dr. Michael Dailey
Title:Dir Distance Learning/Inst. Design
Mailing Address:400 East Main Street Frankfort, KY 40601
Phone:502-597-6238Fax:
Email:Michael.Dailey@kysu.edu
Send invoices to my attention:Yes ☐No ☐
Billing Information (if different than above)
Billing Contact: Accounts Payable Title: Rebecca Persons Mailing Address: 400 E. Main Street City, ST ZIP: Bldg. ASB Reeam 430 Frankfort, KY 40601 Phone: 502-597-6612 Fax: Email: accounts.payable@Kysu.edu Will Campus Labs be issued a PO for this requisition? Yes ☒ No ☐ Is a Campus Labs invoice required for PO generation? Yes ☒ No ☐ PO number is provided:
T: 716.270.0000 F: 716.652.2689
Campus Labs Contact: Tina Michalowski
www.campuslabs.com
298 Main Street Buffalo, NY 14202