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

*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)*

The Open Access Resource Centre collects the above information for internal and statistical purposes and does not widely distribute or sell this information.

Device Requested

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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