Sales Approved:
Initial:
Customer: Kentucky State University
Signature:
Name:
Title:
Date:
Is a Purchase Order (PO) required for the purchase or payment of the products on this Order Form?
Yes - Please complete below
PO Number:
PO Amount:
Attach PO :
Blackboard Inc.
Signature:
Name: Bill Jones
Title: Deputy General Counsel
Date: August 15, 2018