Gardner Public School District

Computer Donation Form

Donor Information

 

Organization:

 

 

 

Street:

 

 

 

Contact Name:

 

 

 

City:

 

 

 

Phone:

 

 

 

State:

 

 

 

Email:

 

 

 

Zip:

 

 

 

 

 

 

 

 

 

 

 

 

Equipment Information

Proposed Donation 1

 

 

 

 

Equipment Type:

(Computer, Printer, etc.)

 

 

 

 

Accessories:

(Keyboards, Monitors, Toner)

 

 

 

 

Total Number:

 

 

 

Total Estimated Value:

 

 

 

 

 

Specifications:

 

Company:

 

 

Model:

 

 

Network Card:

 

 

Processor:

 

 

RAM:

 

 

Hard Drive:

 

 

License documentation and/or CDs included:

 

 

 

 

 

 

 

 

 

 

 

 

Equipment Information

Proposed Donation 2

 

 

 

 

Equipment Type:

(Computer, Printer, etc.)

 

 

 

 

Accessories:

(Keyboards, Monitors, Toner)

 

 

 

 

Total Number:

 

 

 

Total Estimated Value:

 

 

 

 

 

Specifications:

 

Company:

 

 

Model:

 

 

Network Card:

 

 

Processor:

 

 

RAM:

 

 

Hard Drive:

 

 

License documentation and/or CDs included:

 

 

 

 

 

 

 

 

 

 

 

 

\Recipient:

The donor may designate a specific school or department to receive donated equipment.  Appropriate distribution of undesignated donations will be determined by the Director of Technology.

 

District:

 

 

School(s):

 

 

As to the best of the owner’s knowledge, the equipment above is in safe and good working condition.

Signature:

 

 

Date: