GEM - Global Education Mission

Simply fill out the form below for the resources that you would like, and a GEM representative will contact you within an hour to discuss and process your order.

Name*:
Organisation:
Address:
City:		Postcode:
Phone*:		Fax:
E-Mail*:
Where did you hear about us? (choose):

Contact Name & Address of Equipment (If Different from Above)

Name:
Organisation:
Address:
City:		Postcode:
Phone:		Fax:
E-Mail:
When will donation be ready for collection?:

Please Indicate Donation & Quantity

Books

Quantity of Books:		Level:
General Subject Area:

Computers

Pentium II Processor or Equivalent Systems

Number of base units:		Number of full kits:
Description/comment:
Note: "Full Kit" means base unit plus monitor, keyboard etc.

Pentium III Processor or Equivalent Systems

Number of base units:		Number of full kits:
Description/comment:
Note: "Full Kit" means base unit plus monitor, keyboard etc.

Other Equipment

Item	Quantity	Description or Comments
Colour monitor:
Mouse:
Modem:
Keyboard:
Printer:
Memory:
Other: