FamilyTech

Donate Computer Equipment

Simply complete the form below and a copy will be emailed to us.

Or you can also download and print this PDF Form, fill it out, then fax it to us at 305-892-5096.

Either way, a representative from FamilyTech will contact you within 3 business days to schedule a pickup.

* Required Fields

Donor Information First Name:*
Last Name:*
Company:*
Phone Number:*
Address:*
City:*
State:*
Zip Code:*
Email:*
Fax:

Donation Information Computers: Specifications:

Please specify the type of computers (processor speed, etc.)

Monitors:

14" - 17" only

Other Items: Description:

Please enter specifics about the items.

Total Estimated Dollar Value of all Items:

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