TELUS Internet for Good Form

Access Code *

6 digit Access Code provided by TELUS (contains numbers and letters)

Full Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number *

Area Code Phone Number

E-mail *

Requesting: *

Select Computer Package

Would you like to purchase any add-on accessories for an additional cost? *

Wi-fi adapter $15 Webcam $30 Both (wi-fi adapter + webcam) $40 None

Payment Method *

E-transfer Credit Card

E-Transfer Information:

To reduce processing time, please contact us with your payment. Otherwise we will contact you in the following week after verifying your code to request payment before fully processing your order.

*Must come from the person submitting the form or specify the FULL NAME submitted on form in the messages/comment section of the E-transfer*

If we cannot fulfill your order, we will not cash your payment.

Receiver: internetforgood@reusetechbc.ca
Amount: $120 for Laptop package, $100 for Desktop package
Add-ons:

$40 for both (wi-fi adapter + webcam) (Desktop Package Only)
$15 for wi-fi adapter (Desktop Package Only)
$30 for webcam (Desktop Package Only)

Security Question: What is my access code
Security Question Answer: Access Code (in all caps)

The Access Code is found in the email or letter from TELUS regarding the Internet for Good.

Phone Payment / Credit Card Information:

We only accept Visa & Master Card payment over the phone during 8 am - 5 pm. We cannot process debit cards or debit credit cards.
Call us at 604-294-6886 ext. 2 to make a credit card payment.

*NOTE*

The form may take up to 15 minutes to process after being submitted.

Comments, Questions, or Concerns

Customer Details: