Request for Computers
by a Sponsor Organisation

Please take your time to complete the following request form. It is important you understand the conditions under which this application will be accepted or declined.
Eligibility criteria can be viewed here.

After you submit the form, you will receive an email confirming your order. The email can be printed, and contains your Order Number, which is required for any enquiries.

*Required information (Please make sure any marked field is filled in)

Today's date :

Organization Name

 
Type of Organisation A Charity  
ABN Number  

 

 

 

 

 

 

Please outline the purpose for which these computers will be required
 

 

State
 
Invoice to:
(If different to above)		    

 

 

 

   State
 
     

Who will collect the order? *


 

Who is responsible for  payment of the invoice? * 


 

ORDER DETAILS

 Number
Req'd
Price
Desktop PC.... Cost $50
Typically P4 processor loaded with Windows XP PRO and Open Office freeware software which is similar to Microsoft Office.
Microsoft Office2003 added to Desktop ....Cost Additional $20 (Not available separately)
This is a special stock run out price while stocks last.
Laptop PC.... Cost $100
Rarely available. Please note we cannot guarantee the life of the battery, and battery packs can be $100 or more to replace. Justification is required for why a Laptop is required and a Desktop will not be satisfactory.
Microsoft Office 2003 added to Laptop ....Cost Additional $20 (Not available separately)
This is a special stock run out price while stocks last.

Box for computer system.... Cost $5
Only required if applicant is arranging for a Courier to collect


GRAND TOTAL

 
$
(Click equal button to obtain total)

MS Office is a short version of the Microsoft Office suite.It includes Excel, Word, PowerPoint, Outlook and can be loaded on Desktops and Laptops.
Supporting information. *    
As the Sponsor, you have obligations to verify the need of your clients. From your knowledge and/or investigations, are you satisfied that your client/s circumstances meet the eligibility criteria and the client/s understand that the licence forbids re-sale of the computer?
Yes, we can certify compliance.