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donorforms.doc Prepared by RMG
06/28/04 941-358-7730
Electronics Donation form
To be filled out for ALL computer/electronics equipment that is donated to Goodwill
Date:
Donor’s Zip Code:
Items being dropped off
Item Age
(yrs old)
Manufacturer Does it work?
TV Y / N
Monitor Y / N
Computer Y / N
Printer Y / N
Scanner Y / N
Software/Books
includes documentation
& license Y / N
other (specify)
Is there anything else we should know about your donation, like any special
features (extra ram, faster processor, fancy sound cards, etc.)?
Goodwill location: (
circle one
)
Punta Gorda Charlotte Harbor Pt. Charlotte Englewood US17/Winn Dixie ADC WalMart ADC
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