Asset Registration Form
Personal Information collected by this form, will be kept confidential for the use of CUSA and CUSA Employees in their roles.

The information will be retained by the Clubs & Societies Office for administrative purposes.
Full Name *
(Joe Carleton)
Student Number *
Person Email *
Club Name *
(Chess Club)
Item *
(Chess Board)
Description *
(wooden board with black and white checkered pattern)
Serial Number
(if applicable)
Purchase Value *
($19.99)
Submit
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