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Electronic Donation Services 
Electronic Donation Services 
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Technology Assistance Application
  • 1
    Please Fill Out Full Legal Name
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  • 2
    Please Fill Out Your Current Address. We Need Information to Ship You Computer.
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    • United States
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    • Nigeria
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    • Northern Mariana
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    • Republic of the Congo
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    • Rwanda
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    • Other
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  • 3
    Please Use your own Email Address.
    Email Verified

    The verification code has been sent to some@email.com
    Please check your mailbox and paste the code below to complete verification

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    Receiving the email may take a few minutes, thank you for your patience!
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  • 4
    We Need Your Phone Number To Contact You. We Will Contact You if your approved or not.
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  • 5
    We Need To Verify Your Income. If You Have a Job, SSD, Unemployment, or SNAP, We Need verification if you will allow us to.
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  • 6
    Your Take Home Pay After Taxes.
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  • 7

    Place Of Employment or Social Work Name: * Work Phone/ Social Worker

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  • 8
    the questions we ask your employer are: is he/she employed here and for how long. and about how much income.
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  • 9
    if you have a computer that needs repair, we can help you with that process. we offer tech support services.
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  • 10
    please explain your plans with the computer, how your going to use it, if its for your child or if its for school work. it gives us an idea what kind of programs you might use on the computer. and you can tell us what programs you have already and we can install them for you.
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  • 11
    we offer free computer training. if you need help with your computer, please call or email us to setup remote training or in person.
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  • 12
    Electronic Donation Services Donation Policy To receive the computer, you must fit certain requirement, once you receive the computer there are some rules that are important to follow. 1. You cannot sell / pawn any devices. All devices have been registered to our Nonprofit Group and cannot be sold to a pawn store; they will see it in their system as a red flag. 2. If you no longer need the device, you must return it to us. 3. We provide you with our Tech Support Program. If you have issues with your PC please contact us and we will help you fix it, please to don’t open the computer or try to fix it yourself. We will fix it for you. We have Anti-Tamper stickers on the devices. 4. We want to help you at any time. If you have a problem, please email us at Electronicdonationservices@gmail.com
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