NOTE: This form is not needed if you are filling out the APPLICATION FOR IDEVICE

*Request for Quote Form – quote provided for equipment only (no setup and/or training) *
*Application for iDevice – application for equipment and our services (setup and/or training)*

Will you require the additional warranty for the equipment?

Is this a replacement device?

Type of Case


Do you require this system to be shipped to a location outside of Winnipeg?

All systems are picked up from OARC unless shipping has been approved by a funder
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