Thank You!  You're helping to close the technology gap for kids in our schools.  
We carefully wipe all your data from any donated laptops!  If you're donating an Apple product, please sign out of iTunes, iCloud, iMessage and deauthorize your AppleID for the donated computer.  

Please note that donated Laptops must have a webcam

and

must weigh less than 5 pounds

and  

the laptop screen cannot be physically cracked or broken.  


Sign in to Google to save your progress. Learn more
Donor's Email Address
*
Donation Date *
MM
/
DD
/
YYYY
Donor's First Name *
Capitalize 1st letter
Donor's Last Name *
Capitalize 1st letter
Company Name
Needed only if this is a Corporate Donation.  PLEASE Capitalize 1st letters in the name.
Donor's Street Address *
1 or 2 lines, leading caps please. If no address, please enter "Online Donation" (minus quotes).
City *
Capitalize 1st letter
State *
2 characters in caps
ZIP *
5 digit or 5 digit then hyphen then zip+4
Donor's Phone Number
Description *
use as many lines as necessary - this is text that will appear in your tax receipt letter
Total number of items donated *
How did the Donor hear about Laptop Upcycle?  
Clear selection
Add any specifics about the Donor source -- for example, Good Morning America, National Christina Foundation, Laptop Upcycle FB page, Next Door etc.
Your Email address, if you are not the donor
you'll be copied on the Donation Thank You letter when it goes out
Add any comment you'd like:
How would you like to get your donation to Laptop Upcycle?   *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of HackNCraftNJ, Inc..