"Free Computers"
FreeHomeComputer.org

Visit our website, go to http://www.1usa.com and click on freehomecomputer under non profit organizations.

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.

CD-ROM (check or leave blank) Utilities _______ Games________
__________________________________________________________________________ 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