2. First Name*
3. Last Name*
4. Email Address*
6. Department / School:*
   -- Select One --AccountingAssessorsClerkCollectorCouncil on AgingELCATELPS - BPELPS - COELPS - Food ServicesELPS - HSELPS - MBELPS - MSELPS - MVFire DepartmentInspectionsInformation TechnologyPublic LibraryPlanning DepartmentPolice DepartmentPublic WorksRecreationSelectmen's OfficeTreasurerOther/Unknown
7. Room:*
9. Laptop choice:

   1. 13" Macbook Air

   1. 13" Macbook Pro
10. Please confirm that you understand that your Macbook Air will not have a CD/DVD drive.*

    1. I understand that by choosing the Macbook Air I will not have a CD/DVD drive.
11. Would you like to be notified if your laptop is ready to be picked up before the start of the school year?*

    1. Yes

    1. No
Leave This Blank:


13. 1. Receive an email copy of this form.
14. Email address

    This field is not part of the form submission.

15. Submit

* indicates a required field