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Application for Challenge CLC Laptop If you are interested in applying for one of our used Ergo Laptops please complete this form Name …………………………………………………………………………………………………………. Organisation ………………………………………………………………………………………………. Position ……………………………………………………………………………………………………… Address……………………………………………………………………………………………………… Email …………………………………………………………………………………………………………… Telephone ……………………………………………………………………………………………………

What would you use the laptop for?............................................................. …………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………

Please be advised that by completing this form you agree to the following: •

To provide Challenge CLCwith quarterly reports detailing how and where the laptop is being used.

The laptop will be used for businesspurposesonly.

You will be responsible for any future repairs of the laptop and the purchasing of antivirus software for the laptop.

Challenge CLC reserves the right to recall the laptop should the above conditions not be adhered to.


I confirm that I would like to apply for a Challenge CLC laptop and agree to the above conditions. Signed……………………………………………….

Date…………………………….

Office use: Serial number of laptop……………………………………………………………

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laptop test

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