the CUrb Intent to Purchase Form

Your name(Required)

First Last

Is this purchase on behalf of a Carleton University Department?

Yes

Please list FOAPAL and Department name to charge (if applicable)(Required)

Your email address(Required)

Item number(Required)

Item description(Required)

Qty Requested(Required)

Is the item being given away free-of-Charge?

Yes

Price of the Item(Required)

Prices are listed in Canadian Dollars (CAD); Any applicable sales taxes, government fees or levies will be added to the final purchase price.

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