Donate Electronics – LITE Foundation

Name *

First

Last

Company (optional)

Company Contact Name (if different from above)

First

Last

Street Address *

Street Address 2

City *

State *

Zip Code *

Email *

Contact Phone *

This donation is a (check all that apply): *

Computer(s) - Laptop
Computer(s) - Desktop
Phone(s)
Tablet(s)

Estimated Fair Market Value: *

Please tell us the fair market value of the donated item(s). This information will be used to acknowledge your in-kind gift and for reporting to the Internal Revenue Service (IRS)

Description (Please include Brand, Model # and Condition):

Shipping Date *

How soon are you able to ship the items you are donating? Month/Day/Year. Estimated date is fine.

I plan to cover shipping cost *

Select "yes" or "no"

My Item(s) is (Check all that apply):

My donated item(s) includes the following Accessories

Comments or Questions

By submitting this form: *

I hereby certify that I am the owner of the property described above and I have the legal right to transfer ownership to the LITE Foundation.

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