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  

 

 

eg 0798765432  

 

10 digit no spaces  

 

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? * 



PLEASE NOTE: Seperate Invoices will only be issued in your clients name if a seperate application for each client is submitted and the invoice To fields are completed.
If seperate applications are not submitted, a single invoice will be issued to the organisation and all components on the order are to be collected at the same time.

 

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 Office Home & Student 2007 Added to Desktop
....Cost Additional $20
(Not available separately)
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 Home & Student 2007 Added to Laptop
....Cost Additional $20
(Not available separately)

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)

Microsoft Office Home and Student 2007 includes Excel, Word, PowerPoint, OneNote and Office Tools and can be pre-loaded on Desktops and Laptops.
(Not available for purchase separately.)
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.