Request for a PC
  1. Please fill out this PC Request application for each laptop requested. For example, if there are two people in a family needing a laptop each, then please submit two requests with all details necessary.
  2. We will get in touch with the requested/family very soon to coordinate the pickup/delivery of the computer/equipment.
  3. Please note that in general it will take a minimum of 4 weeks for us to satisfy a request.
  4. We work only within Arizona, USA and sorry we won't able to address any requests from outside of our operating boundary.
Sign in to Google to save your progress. Learn more
Requesting for? *
Tell us if you are requesting this computer for you (or your family) or if you are filling this for someone else.
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of PCs for Refugees. Report Abuse