Laptop Upcycle Technology Request
Please complete all required fields on the form.
Your Name *
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Email *
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Address *
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Phone number *
Your answer
Number of students and school they attend (please list number of students in each school. Do not include student names.)
Your answer
Request Type *
Laptop Preference (If you selected "Free laptop" above, please indicate your preference. We will do our best to accommodate your preference.)
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