Barnard College Hardware Recycling Program  - Pick up Form

To: Purchasing Department, Barnard College

I understand that Barnard College donates old monitors, computers and printers to various educational and charitable organizations.  I am taking the items listed below and will donate them to the following organization:

Name of organization:	My phone number:
My name and title:	My email address:

Description of how Agency will use or distribute these computers: 

 

 

 

My organization understands that these computers have been reformatted, will not include software, do not have modems and may require substantial technical repairs and replacement parts.  My organization will not re-sell these machines. They will be distributed for educational or charitable purposes.

I am taking the following items:   (please fill in numbers) 

Signature:

Today's date:

To: Safety And Security Department, Barnard College

Please permit this person:

Name

to remove the following hardware from campus.

Staff Signature:   

Today's date: