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UCLA CashNET Purchase Form

Full Visiting Scholar Program

The organization you represent (60 characters max)
The name of the your sponsor. If you are not a visting scholar, please leave this blank.
Please tell us your start date. If you are not a visiting scholar, please leave this blank.
Please tell us when your appointment will end. If you are not a visiting scholar, please leave his blank.
Please tell us what type of service you require.
Please choose a position below
Please provide your contact info if you are registering for someone else
Please provide your contact info if you are registering for someone else
Item Price Quantity
$1200.00
$900.00
$40.00

Note: When you click order you will be securely taken to CashNet, UCLA's designated payment processor, to enter your payment information and complete the order.

For questions regarding Visiting Scholars please contact Suellen Coleman .