Equipment Return Form

Equipment Return Form

Please fill out the form below to return the equipment.
Full Name

First NameLast Name
Email Address
example@example.com
Date of return:

MonthDayYear
Date
LaptopMobile PhoneLaptop chargerPhone chargerLaptop coverPhone coverLaptop standMobile SimOther

Please indicate items and their condition (leave empty if you did not receive the item)

Rows	Good condition (turns on, others can use it)	Fair condition (turns on, ,usable with cosmetic defects only)	Poor (turn on, but visible damages like cracks	Bad (not working at all, needs repairing)
Laptop
Laptop charger
Laptop sleeve
Laptop stand
Mobile phone
Mobile phone charger
Mobile sim
Other