Chromebook Repair Form

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Please complete all the information on this form and we will contact you to schedule a time to drop off the Chromebook and swap it with a loaner. Chromebook drop offs will occur at the front entrance of Durham Nockamixon Elementary School at 39 Thomas Free Drive, Kintnersville, PA 18930

Email *

Student's First Name *

Student's Last Name *

Student ID Number *

Student's School *

Durham Nockamixon Elementary School

Springfield Elementary School

Tinicum Elementary School

Palisades Middle School

Palisades High School

Palisades Cyber Academy

Please provide a detailed description of the issue *

A copy of your responses will be emailed to the address you provided.

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