RL & Associates, Inc. - San Francisco Bay Area Assistive Technology and Networking Support

Quote Request for Assistive Desktop Systems (PC)

Fill out this form to get a quote for a complete system. Complete systems are less expensive than individual parts. You can still get a quote if you do not fill out this form completely. Some users are fine with less powerful systems for lower prices. Please add any requirements or additional items you'd like in the Notes box. The more information you provide, the more precisely we can meet your needs. If you have any questions, contact us at info@rla.com or call us toll free at 1-866-INFO-RLA.

Name:	* ( required field)*
Email:	*
Phone:	*
Alt. Phone:
Address:
Address 2:
City:	*
State:	*
Zip:

End User Information (if different from above)
Name:
Email:
Phone:
Alt. Phone:
Address:
Address 2:
City:
State:
Zip:

Delivery:


Desktop Computer
Processor:
Memory:
Hard Drive:
Monitor:
Optical Drive:
Speakers:
Keyboard:
Mouse:
CPU Case:
Windows:
Microsoft Office:
Anti-Virus:
CD/DVD Software:
Additional Components:	56K Modem (for dial-up access) 3.5" diskette drive 2nd hard drive Surge protector WiFi Bluetooth

Printer:
Scanner:
Scanning/Reading Software:
Screen Reading Software:
Screen Magnification Software:
Screen Combination Magnifier/Reader Software:
Braille Display:
Braille Embosser:
Braille Translation Software:
Notetakers - Pocket PC:
Video Magnifier:
Notes / Additional Requirements:
All systems include the following:	USB Ethernet Serial and Parallel ports (PC) Network Adapter

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