Application

Application

All applications are valid for a year of submission date. Once you have submitted the application you may come into our office (830 Park Row, Salinas, CA) to browse our sales floor. LFC does not sell devices for low income individuals online and is only selling computers in person at this time.
Name*

First NameLast Name
Phone Number*
Email*
What Organization do you work for? *
If unemployed enter NA.
Address*

Street Address

Street Address Line 2

CityState

Zip Code

Optional Survey
Do you have children?
How many children 17 years or younger will be using the computer?
Ages of children.
Ages of Children.
Why do you need a computer?
Why did you come to LFC to buy a computer and not a large commercial store?
How do you think a computer will help you or your family?
May we contact you in 3 months to follow up?

YesNo
Tell us your story! Or, simply use this area if there are any special circumstances or needs you would like to share with us.

I hereby give permission to Loaves Fishes and Computers to use my first name, and first names of family members and photographic likeness in all forms and media for advertising, to use funders, and donors, to show LFC is helping our community.*

YesNo
By signing this agreement, I agree to meet at least one of the qualifiers.

I will not sell or trade computers and accompanying equipment for the lifetime of the computer for any financial gain. Suppose the computer system is no longer needed. In that case, I will return the computer system to Loaves Fishes and Computers Inc. or transfer it to another qualifying person or family member.

Please Note: Your computer purchase has a WARRANTY; please read your receipt for additional information or ask a salesperson. Additional repair costs made outside LFC (while under warranty) will not be refunded.

Please be aware that the computer you are receiving is used, and therefore, it is highly advised to always backup your most important data to an external drive (thumb drive, CD, etc.). We are not liable for data loss due to failing equipment.
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