Donation Section: (Mail in an envelope please)
NAME:_________________________________________
ADDRESS:_______________________________________
CONTRIBUTION AMOUNT:_________________________
The official registration and financial information of freehomecomputer.org may be obtained from the Pennsylvania Department of State by calling toll free within Pennsylvania 1-800-732-0999.
Registration does not imply endorsement.
___________________________________________________________________ Fold
FREE AND LOW COST COMPUTER REQUEST
(Just fold so address shows, add stamp and mail)
NAME:____________________________________ AGE:_______
ADDRESS:__________________________________
PHONE:____________________________________
HOUSEHOLD INCOME (YEARLY) $_______________
NUMBER OF CHILDREN IN SCHOOL AND LIVING IN HOME:_____
___________________________________________________________________ Fold
Postage
STAMP
FreeHomeComputer.Org
103 North Church St.
Robesonia, PA 19551
Donation Section: (Mail in an envelope please)
NAME:_________________________________________
ADDRESS:_______________________________________
CONTRIBUTION AMOUNT:_________________________
The official registration and financial information of freehomecomputer.org may be obtained from the Pennsylvania Department of State by calling toll free within Pennsylvania 1-800-732-0999.
Registration does not imply endorsement.
___________________________________________________________________ Fold
FREE AND LOW COST COMPUTER REQUEST
(Just fold so address shows, add stamp and mail)
NAME:____________________________________ AGE:_______
ADDRESS:__________________________________
PHONE:____________________________________
HOUSEHOLD INCOME (YEARLY) $_______________
NUMBER OF CHILDREN IN SCHOOL AND LIVING IN HOME:_____
___________________________________________________________________ Fold
Postage
STAMP
FreeHomeComputer.Org
103 North Church St.
Robesonia, PA 19551