Computer Receivers Form

The aim of this program is to give used computers a “second life”. While we will try our best, we do not guarantee that everyone’s request for a computer will be met and we cannot guarantee the computer will be working perfectly. Please note that this is a community program run by volunteers and the computers were donated. Neither the Perth Union Library nor anyone involved in the program is responsible if people are not satisfied with the computer they receive.

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First and Last Name(required)

Email(required)

Phone

How did you hear about the program?

What is the best way to reach you?

Email Text

What are you hoping to use the computer for? (E.g. emails, internet surfing, watching videos, video calls, word processing, video editing, gaming.)

Do you have any experience with computers?

Yes, I am comfortable with computers

I have some experience

I have never used a computer before

Do you expect to move around with the computer?

Yes, I need a laptop

Not necessarily and I would consider receiving a desktop computer

Do you expect to need training for what you hope to do on the computer?

I should be fine once you show me how the system works

I will probably need some training to do what I need to do

Do you already own a computer?

yes

no

Do you have any comments or questions for us?

SendSubmitting form

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