Free Geek Donation Receipt
Thank you for donating technology to Free Geek!

Current estimates show that more than 75,000 computers are needed by students across Oregon to support distance learning (not to mention additional essential needs like telehealth). That means tens of thousands of students are unable to access online learning, have limited ability to connect with teachers, cannot socialize with friends and more.

The items you've donated will help Free Geek bridge the digital divide and provide technology to those who need it.

To receive your tax receipt, please fill out the following information.
Sign in to Google to save your progress. Learn more
Email *
Donor Information
To accurately record your donation, please enter your first name, last name and the date of your donation.
First Name *
Last Name *
Date *
MM
/
DD
/
YYYY
Donated Items
List the quantity of items donated. If you did not donate an item, please skip it.
Qty of Laptop(s) donated:
Qty of Desktop(s) donated:
Qty of Monitor(s) donated:
Other items donated:
I want to stay in touch!
By submitting this form, you confirm that the information given in this form is true, complete and accurate.
Please treat this response form as a formal tax receipt and print or save this for your records.
Disclaimer: No benefit was bestowed upon this donor in exchange for this contribution. We are an exempt organization as described in Section 501(c)(3) of the Internal Revenue Code; EIN 93-1292010.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Free Geek.

Does this form look suspicious? Report

Google Forms