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the CUrb Intent to Purchase Form

Your name(Required)

First Last

Is this purchase on behalf of a �Ӱ�ԭ�� University Department?

Yes

No

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

No

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.

(Required)

I have fully read and agree to the above Terms and Conditions for purchases made through the CUrb.

CAPTCHA

�Ӱ�ԭ�� University acknowledges the location of its campus on the traditional, unceded territories of the Algonquin Anishinàbeg nation

Contact us by phone or email

1125 Colonel By Drive, Ottawa, ON, K1S 5B6, Canada

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