COMPUTER-RECYCLING PROGRAM REGISTRATION FORM
Name of the Organization* :
Type of Organization:
Contact person* :
Contact phone number* :
Contact e-mail* :
Mission* :
Full street address of premises* :
Post code* :
Organization Coordinator* :
Neighborhood:
Number of members:
Group of people your organization
addresses:
How many people use your service
per year?:
Do you have computers?
How many?* :
Do you use any specific programming systems? Which ones?* :
Number of computer requested:
Do you hace internet service?* :
Specific project the computers will be used for* :
Other notes:
*Required fields