Ohio Technology Access Project                         OTAP is a project of the Dayton Microcomputer Association

Individual Application for a Refurbished Computer

Name of Applicant   Age of Applicant  
Name of Contact Person  
Address  
City   State   ZIP  
Home Phone   Mobile Phone   Other Phone  
Referred By  
Disabled   Low Income    
Computer Experience:  None   Some   Advanced 
Would you like to have childrens software installed on this computer?  Yes    No  
Will someone with special needs use this computer?   Yes    No        If yes, please describe below
Are you interested in a Desktop System or a Laptop System

 

The equipment received from OTAP is provided on an "AS-IS" basis with no warranties or guaranties from OTAP or the organizations or individuals who have donated equipment to OTAP. OTAP provides the equipment to the recipient without liability or an obligation to provide indemnity of any kind. Recipient will execute the agreements provided by OTAP that govern license rights to the software OTAP installs on the equipment. Recipient agrees to comply with applicable laws and regulations governing ownership and use of the equipment, in particular those laws and regulations governing the proper disposal of the donated equipment. Recipient agrees that the equipment is for personal use and will not sell, trade or otherwise convert it to cash.

Fees are paid at the time your pick up your computer.