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THE COMPUTER ACQUISITION PROJECT APPLICATION FORM

Please complete this form to apply for entrance in the Computer Acquisition Project.

Name

Postal address

Age

City

Gender

State

NGO Income range

Country

Occupation

Email

Have you participated
in any of our
programs before?

Are you a member
of the Finnet
DIGITAL Club?

What do you intend to do with the Computer?

Why do you think you need a Computer?

If you believe that this Form is correct, please click on the SUBMIT Button below to send your form.

If you believe that you have made an error on this Form, please click on the RESET Button below and try again.


Questions or problems regarding this Web site should be directed to the Webmaster.
Copyright © 2002, Spottershouse.org, All Rights Reserved. Last modified: 10/2/2002.