C R E C E R
          Computer Recycling for Education and Community Enhancing Resources
          P.O. Box 792504
          San Antonio, TX 78279
          (210) 366-3412
          crecer@salsa.net
          http://www.salsa.net/~crecer

                           Donor Information




Name                                         Date of Donation




Title (if applicable)                                  Daytime Phone Number




Organization (if applicable)                           FAX / Other Phone Numbers




Address                                           E-mail Address




City                State          Zip            County

Please describe donation (feel free to attach additional sheets):

Manufacturer            Serial Number        Description






    CRECER has my permission to use my name for the organization's publicity and promotional
purposes.

    I prefer that my donation to CRECER remain anonymous and that my name not be used for the
organization's publicity and
promotional purposes.

By affixing my signature below, I certify that the above information is true and correct.  I further
affirm that I am the owner of the
property described above or a designee of the owner.  I relinquish all rights to the equipment.




Signature                                    Date

                    Thank You for Your Donation!












          C R E C E R
          Computer Recycling for Education and Community Enhancing Resources
          P.O. Box 792504
          San Antonio, TX 78279
          (210) 366-3412
          crecer@salsa.net
          http://www.salsa.net/~crecer

                         Request for Equipment




Organization Name                                 Date of Request




Contact Name                                      Daytime Phone Number




Title                                             FAX / Other Phone Numbers




Address                                           E-mail Address




City                State          Zip            County

Tax Exempt?    Yes / No       Taxpayer ID/Exempt Number  

Please feel free to attach additional sheets:

1.  Please describe the organization's need for this equipment.  What will it be used to do?

2.  Who will have access to it?

3.  How will use of the equipment be supported, i.e., training, repair, etc.?

4.  Please describe any specific equipment you wish to obtain.

5.  If you need concurrence or approval to receive equipment, have you received it?

6.  How did you hear about CRECER?

    CRECER has permission to use our organization's name for the CRECER's publicity and
promotional purposes.

    I prefer that we remain anonymous and that our organization's name not be used for
CRECER's publicity and promotional
purposes.

By affixing my signature below, I certify that the above information is true and correct.  I agree to
provide CRECER with two reports
regarding the use of the equipment: one at six (6) months and one at one (1) year.  I agree that
this equipment will not be sold, traded or
bartered.  I agree that this equipment will be used to fulfill the mission of the organization I
represent.  I understand that CRECER
makes no guarantees regarding the equipment and provides no warranties.





Signature                                    Date