Your Name *

If you are applying on behalf of someone else, please state who the application is for

How many devices are you applying for?

Telephone *

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Please provide a short summary about your application & why the machines will be of benefit *

By signing, I confirm that I/the recipient of this device agrees to the following

The laptop is going to someone who could not other wise afford to buy oneThe laptop will be returned to WDD when it is no longer neededThe person is not subject to a police licence that prevents them from owning laptops, computers or mobile phones

I consent to having this website store my submitted information so they can respond to my enquiry.