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Computer Support Service Enquiry Form

To enquire about a refurbished computer (NSW residents only please), fill in the form below. Note that because of strong demand for this service, there is a substantial waiting period.

 

All fields with asterisks (*) should be filled in.

 

Applicant's Details

Name*
Company
Address 1*
Address 2
Suburb* Post Code*
Phone* Fax
Mobile Email
Disability*:
 
If you are not the applicant, please fill in your details below.

Referrer's Details
Name
Address 1
Address 2
Suburb Post Code
Phone Fax
Mobile Email
Your relationship with the applicant:
Comments:

Please review the form before clicking Submit. If you want to start over, press the Clear Form button.
   

Privacy Statement:

TADNSW respects your privacy.  You personal information will be treated in accordance with the National Privacy Principles contained in the Privacy Act of 1998.  If you no longer want to receive further communications from TADNSW or would like a copy of our privacy policy, please email privacy@tadnsw.org.au or call (02) 9808 2022 or 1300 663 243 (calls outside of Sydney) and ask to speak to the Privacy Officer. You can also download a copy of our Privacy Policy through our website: http://www.tadnsw.org.au/privacy.html