CSDB Technology Loan Bank

Suggestion Form

Directions: Ask the CSDB Loan Bank contact to check the most updated inventory list to verify that the item is not already in the inventory. Complete this form, providing as much information about the requested product as possible. This information, together with data on frequently requested items, will help us maintain an inventory that responds to the needs of educational professionals in Colorado who teach students who are Deaf/Hard of Hearing.

Name of item:
Manufacturer/Vendor:
Description:
How did you hear about this item:
Requested by:
Name:
Organization
Address:
Phone:
Date of request:

Return this form to:
    Mary Hattick
    CSDB Technology Loan Bank,
    33 N. Institute St. Colorado Springs, Co 80903

 Phone: 719-578-2185; e-mail:  techloanbank@csdb.org

Printable PDF form

;last edited: 12/14/2006