Apply for Computers

 


Please complete the form below. Please provide as much detail as possible and ensure that fields marked * are definitely completed. If you have problems sending this form click here to notify us and we will email or fax a form to you.

 I confirm that our organisation agrees to Computer Aid International's Terms & Conditions (please ensure you have read these before you submit any donation request).

We formally request the following:

Request authorised by:

Your Name*

Organisation*

Position in organisation*
UK partner organisation:

Contact Name

Organisation

Address/ City

Phone

Fax
E-Mail
Recipient organisation:

Contact Name*

Organisation*

Address*

Phone*

Fax
E-Mail

Can you tell us about the activities of your organisation, what does your organisation do?*
Is this a non-profit organisation? Yes No
Number of PCs required?*
   

All UK Keyboards

All French keyboards

All Spanish Keyboards

All Portuguese Keyboards








Voltage Selection. Please indicate the voltage that the recipient uses. If unsure please enquire. We normally send equipment out set to 220/240V
   
Mixed
Select French or Portuguese above and state what percentage should be English keyboards.		 %

What will the computers be used for? *
Please provide specific, detailed information or we cannot process your request

Which countries will the computers be used in? *
Your Preferred Port for delivery

 

Member of
Please Submit only once
your will be notified of a succesful submission.

Check our bone fides as a registered charity; not-for-profit company, and international NGO with these public databases
 Bond Member (British Overseas NGOs for Development) Reg Charity No 1069256 Reg CompanyNo. 3442679

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