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DEVICE DONATION FORM

Kindly complete the form below to tell us about the device you will like to donate

Full Name

Email *

Phone

City *

State *

Country *

Country

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Device Details

What type of device(s) are you donating?

Desktop Computer (CPU + Monitor + Accessories)

Laptop

Tablet

Other

Please state the quantity of devices for donation

1-2

3-5

6-10

11 or more

others

Kindly Indicate the condition of the device *

New (Sealed and unused)

Gently Used (Fully functional with minimal wear)

Used (Some minor issues but operational)

Requires repair (Needs servicing to function properly)

Brand and Model? (If known)

If the device is used, is it wiped clean and ready for donation?

Yes, all data has been erased

No, I need assistance to wipe data

Logistics & Delivery

How do you plan to deliver the donation?

Drop-off at a designated location

Request Pickup

Ship via Courier

Others

What is your preferred timeframe for donation drop-off/pickup?

Within a week

No specific timeframe, whenever needed

Additional Comment And Support

Would you like to receive updates and reports on how your donation is used? *

Yes, email me updates

No, I do not need updates

Are you or your organisation interested in making future donations or partnerships?

Yes, please contact me for future initiatives

No, this is a one-time donation

Do you have any additional comments or special instructions?

Contact Us

Select Program of Interest

I Consent to Receive Email & SMS Notifications.

DEVICE DONATION FORM

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