Free Web Hosting Provider - Web Hosting - E-commerce - High Speed Internet - Free Web Page
Search the Web


SUNRIDER DISABLE WELFARE FOUNDATION
  Home Page | About Us | Jubedas Story | Contact Us | How to Donate | How you can help us | Computer Donation Form | Sunrider Computer Training Center | Guest Book Page | Favorite Links | Photo Page 1 | Photo Page 2 | Photo3 Page  

Used Computer Donation Authorization Request Form:


Thank you for your donation, please fill out the Donation Authorization Request.
After your request is reviewed we will send an Authorization number.

CONTACT INFORMATION

First Name

Last Name

Company

Address 1

Address 2

City

State

Zip

Phone

Fax

Email

EQUIPMENT INFORMATION

What kind of equipment will you be donating.

Computers

If checked please specify

Quantity

Monitors

Quantity

RAM

Quantity

Hard Drives

Quantity

Modems

Quantity

Sound Cards

Quantity

CD Roms

Quantity

Windows 95 OS

Quantity

Windows 98 OS

Quantity

Other 1

Quantity

Other 2

Quantity

Other 3

Quantity


ADDITIONAL INFORMATION