Extension County Office Cost Share Technology Program Order

FY 2013

County Name*
Billing Address*
Street AddressAddress Line 2CityZIP Code
Physical Shipping Address*
Street AddressAddress Line 2CityZIP Code
Office Manager Name*
FirstLast
Office Manager Phone*
Products
Laptop Package 3
Price: $675.00 Quantity:
Dell Latitude 6530 w/ case
Laptop Package 4
Price: $850.00 Quantity:
Dell Latitude 6520, Docking Station, 22 inch Monitor, Wireless Keyboard/Mouse
Additional Items
NEC NP-M271X Projector
Price: $300.00 Quantity:
H.P. 3015dn BW Laser Printer
Price: $350.00 Quantity:
H.P. M551dn Color Laser Printer
Price: $425.00 Quantity:
Fujitsu Fi-6130 Document Scanner
Price: $450.00 Quantity:
Total
$0.00
Additional information
Include any special instructions, account numbers or County PO numbers we should reference.
County Coordinator Approval*
- Approved
In approving this request, the county coordinator acknowledges that the computers requested are the property of Texas AgriLife Extension Service, and will be returned to the Extension Property Office or donated to charitable organizations per regulations at the end of their useful life.
County Coordnator email:*
Enter EmailConfirm Email

AgriLife Information Technology