ARE YOU AGE 60 + & NEED TECHNOLOGY ASSISTANCE?

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Please fill out the form below and a member from the organization Search and Care will be in touch with you to discuss our technology assistance program further.

Thank you

Submitted by: *

Neighborhood: *

Full Name: *

Date of Birth: *

YYYY

Phone Number:

Email (Optional):

What device(s) do you use to connect to the internet? (Optional):

Cell phone (iPhone)

Cell phone (Android : Samsung, LG, ALCATEL)

Apple Computer ( Laptop or Desktop)

Windows Computer (Laptop or Desktop)

Tablet (iPad)

Tablet (Android : Samsung, LG, ALCATEL)

By submitting this form, you agree to have a staff member from Search and Care contact you for information regarding technology assistance. For any additional questions, contact program coordinator Jacob Gonzalez at (212) 289-5300 Ext. 218

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