Student Name*
Student Grade Level*
Parent/Guardian Name*
Address*
Would you like to purchase your current iPad?*
$
Damaged Device Fee*
You MUST choose this option if: 1. Your iPad has physical damage (any screen cracks, major dents and/or scratches to the iPad aluminum enclosure) and you are not purchasing your iPad. Or 2. You are planning on purchasing your iPad (that has physical damage) and you would like a new replacement iPad under AppleCare+ Damage Protection.
$
iPad charger replacement *
*Only if the iPad is being returned to the school
$
$
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