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What is your name?

What is your email address?

What is your phone number?

What is the name of your organisation?

What is your organisation's full address?

Is the collection address the same address as the one above?
YesNo

How many computers are you donating?

Are all your computers in working condition?
YesNo

What is your preferred collection date?

Do you have any other devices you would like to donate?

Are you interested in doing more CSR activities together with Incitement?
YesNo

Do you have remarks, questions or additional information you'd like to add?

By checking the box below you agree to the Incitement Reboot Terms & Conditions

Please be aware that a for donations under 25 computers collection is subject to availability.