NEW MEXICO TECHNET

COMPUTER EQUIPMENT DONATION REQUEST

Organization:
Address:
_________________________________________________________________________________________

_________________________________________________________________________________________
Contact:
Technology Coordinator/Superintendent (Signature):
Telephone:

 Fax: Email:
Equipment Requested:
_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________
Current Equipment Available in your Organization:
_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

PLEASE ATTACH A TECHNOLOGY PLAN OR A ONE PAGE DESCRIPTION OF HOW EQUIPMENT WILL BE USED.

Please return this form to: Kathy Bruha
Intel, RRT-79
4100 Sara Road
Rio Rancho, NM 87124		 Document URL -- http://www.schools.nm.org/menu/comp-req.htm
Last modified: November 19. 1997