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Laptop Program Exemption Form

Name:                                            

Email Address:                               

Admissions Counselor:                  

Model:                                            Brand   Model

Date Purchased:                            

Processor Brand:                           

Processor Type:                             

Memory (RAM):                              Mb

Hard Drive:                                     RPM Speed

Optical Drive:                                

Wireless:                                        If yes select one of the following 

Bluetooth:                                     

Operating System:                        

Monitor Size:                                 

Video Card:                                    Standalone?   Mb

Battery Life:                                   Approximate hours of runtime

Warranty:                                           years remaining

Network Card:                               

USB 2.0:                                         

1394 Firewire:                               

Accidental Damage Protection:       If yes, how many years remaining? 

Office 2007 Suite:                            If other what form of office you are using?