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Home-School Hardware Request Form

Home School
Registration (Family) #
Contact
Email
Address
Postal Code
Phone
Fax

Please indicate the number of units being requested in the appropriate box:
COMPUTERS: (See Specs\Limits)
Low-End Desktop (Free)
PRINTERS:
Laser
PERIPHERAL EQUIPMENT: Misc
Comments about your application, Special Requests:
NOTE: While Computers for Schools undertakes to provide functioning equipment any subsequent liabilities or repairs are the sole responsibility of the recipient.
 
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