Online Application Form
For Library or Non-profit Learning Organization

 

Note that all entries marked with * must be completed. Please do not use apostrophes and/or quotation marks, as they may cause errors in the application form

Name of Library/Organization:	*
Name of Requesting Person:	*
Address:	*
City/Town:	*
Postal Code:	*
Phone Number:	*	() -
Fax Number:		() -
E-mail:	*
Type of organization:	*	Library Non-Profit Learning Organization Seniors Organization First Nations

Details of request for Non-Profit Organizations: Number of computer systems requested: (includes CPU, monitor, keyboard, mouse) * Number of printers requested:   network capable printer stand alone printer

Please add any additional information that will help our shops in filling your request. *

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Please Note: By accepting computers from Alberta Computers for Schools you agree to ensure they will be sent to (or picked up by) a recycler approved by the Alberta Recycling Management Authority (ARMA), when they reach end of life.

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