2025-26 New York State Computer Hardware & Software Loan Request

School Name*

12 Digit BEDs Code*

Contact Name*

First NameLast Name

Contact phone number*

Please enter a valid phone number.

Contact email*

example@example.com

Order type*

HardwareSoftware

Hardware Request Details*

	Model/ Item #	Item Description	Qty	Unit Cost
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Hardware Total

Software Request Details*

	Manufacturer's Item Number	Software Name	Version	Number of users	Type (License/ Upgrade/ Download/CD/Box)	Qty	Unit Cost
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Software Total

Upload quote (If the total cost of your order exceeds $1,000, you must provide us with two additional quotes.)*

Quotes must be valid, and within the 30 day period. Expired quotes will not be accepted.

By submitting this form, the school acknowledges and verifies that all requested instructional computer hardware and software is for instructional use of students only.