RequestforQuoteForm

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
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Type of Case

Otterbox Defender

EVA with shoulder strap (Ultimate II)

Other

Seymac

Color

Apps requested

Accessories Requested

Shipping

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

Yes

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

If yes, please provide the full shipping address

Additional Comments

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By checking this box I confirm that I am requesting that OARC provide me with a quote for equipment only. I will then submit the quote to the funding agency that I have selected. I understand that OARC will not be setting up this equipment or providing a training session.

Request for Quote Form

Will you require the additional warranty for the equipment?

Is this a replacement device?

Type of Case

Shipping

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