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Delaware Center For Educational Technology

Partners in Technology

Personal Donation Form

Partners in Technology
35 Commerce Way
Dover, DE. 19904
 

Personal Asset Donation Form

 

  Name:      Phone:   
  Address:      Apt #:   
  City:      State:      Zip:   

 

ITEM SERIAL NUMBER
   
   
   
   
   
   
   

 

Remarks:

 

 

Partners in Technology (Par-Tech) is a Delaware Department of Education Program that serves as an intermediary between computer equipment and software donors, and Delaware's public schools.  This document is used to certify that the equipment/software listed above was donated to the state of Delaware for educational use.  All donated assets will be refurbished as necessary and placed into a public school, or if the asset can not be refurbished or used in a school, it will be sent to an authorized demanufacturing facility.

 

Donor Signature:  
Date:
 
       
Par-Tech Representative:  
Date:
 

 

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Last Updated: Thursday, 21-Feb-2008 12:34:08 EST
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