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Equipment Request Form

Nonprofit Users who benefit from this service are expected
to contribute fairly toward the upkeep of this network.
Non-contributing Users are removed periodically without notice.
Your fair and generous support benefits everyone involved.
CLICK HERE for ways in which you can show support.

Name:
Email address:
Please answer this question: How do you intend to use this specific equipment? (Be specific)
In follow-up emails, we will need answers to the following questions: Does this Donor require a TAX-EXEMPT receipt? Can you provide a TAX-EXEMPT certificate? Is this Donor UNWILLING to SHIP this gift? If this donor is UNWILLING to SHIP this gift, you or a direct associate must be able to meet the donor IN-PERSON. Are you or a direct associate able to meet the Donor IN-PERSON to accept this gift?
Click ONCE and WAIT for the server to respond

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