C4K+ Computer Request Form Name * First Name Last Name Name of School or Non-profit Organization * Phone * (###) ### #### Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Type of Computer Requested * Desktop All-in-one Laptop Chrombook Preferred Operating System * Windows Linux Peripherals A desktop system come with a monitor, wired keyboard and mouse, ethernet cable and sound, either in the CPU or as external speakers. Should you want to use the system in a wireless environment, a USB wi-fi network adapter is available for a $10 donation. An all-in-one system includes a keyboard, mouse, webcam, sound, and has wi-fi built into the system. A laptop system includes a scroll pad, web cam, and wi-fi capability. A wired or wireless mouse is available for an additional donation ($5 for wired, $10 for wireless). No additional peripherals requested USB wi-fi network adapter for desktop ($10 donation) Wireless mouse for laptop ($10 donation) Wired mouse for a laptop ($5 donation) Please tell us how you learned about C4K+ Donation to C4K+ * I agree to make a nominal donation to C4K+ of up to $40 per unit, depending on the computer configuration and any additional peripherals. Thank you!
