Your Name:   

Do you live on SABA ISLAND/NETHERLANDS ANTILLES/CARIBBEAN? * Required!

                Yes                        No

Do NOT proceed if you answered NO to the above question. 

You MUST live on Saba island in the Netherlands Antilles!

Do NOT submit this form if you are not on the island to sell/donate equipment!

Your Phone #:   

Your E-mail:  

Address / Location: 

Product You Wish To Sell / Donate 

 Computer Specifications: 

   Processor  <Select> Pentium 1 Pentium 2 Pentium 3 Pentium 4 Macintosh AMD I do not know

   Speed:  

   Operating System: <Select> Windows 95 Windows 98 Windows ME Windows NT Windows 2000 Windows XP DOS Windows 3.1 I do not know

   How Old is the system? <Select> Few Months 1 Month 6 Months 1 Year 1.5 Years 2 Years 2.5 Years 3 Years 3.5 Years 4+ Years

   Condition: <Select> Excellent Good Above Average Average Below Average Poor Broken Needs Work

   Needs to be fixed?     Yes    No

   Would you like to Donate or Sell this Equipment?     Donate    Sell

Current Problems / History of Problems:

 Peripherals or Accessories:

   <Please Include condition and age of components>

Please provide further information about the product if possible:

What are your available time-slots?

We will contact you as soon as possible in response to your request with a quote or phone call