Computer Application Form

Apply for a Computer

Important Update

One-on-one appointments are currently very limited

For at least the next few months, we expect to have limited appointment availability and may need to reserve appointments for special cases.

Before applying, please review the What We Offer page and select the computer option that best fits your needs and budget whenever possible.

If you select “Unsure, I need an appointment”, please answer the form questions as thoroughly as possible so we can better assist you.

🖥️ C4PIN Computer Request Form (dev)

Get Started

We provide high-quality refurbished computers at affordable prices, made possible by our volunteers and community partners.

Please note: We do not offer free computers. Our pricing helps cover essential operating costs and allows us to continue serving our community.

This application has two simple paths depending on your needs:

Option 1: Select the computer you want (Fastest option)
You’ll be able to review our computer offerings in this form and select the best fit for a faster, streamlined process and quicker pickup.
Option 2: We’ll help you choose (may require follow-up communication or an appointment)
Tell us about your needs and we’ll help recommend the best option for you.

You have read the “What We Offer” page.

Yes, I understand that C4PIN does not have free computers.

Contact Information

Please provide your current contact details so we can follow up with you about your application. We may reach out by phone or email with next steps, so accurate information helps us communicate with you smoothly.

First Name

Last Name

City

Zip Code

Phone

✉️

Stay Connected

Please add applications@c4pin.org to your contacts or safe sender list so emails from our team reach your inbox.

Tip: Be sure to also check your spam/junk folder for updates from C4PIN.

What is the best way to contact you? (Check all that apply)

Phone

Text / SMS

Are you a resident of either Whatcom or Skagit County?

Yes

Note: If you are NOT a resident of Whatcom or Skagit County, we cannot help you.

Eligibility Information

This information helps us understand your eligibility and serve you better.

You will be asked to provide proof of eligibility (such as a student ID, driver’s license, EBT card, or similar).

All responses are kept confidential.

Please check any that apply:

Disability

Active Student

Elderly (60+)

Receiving Government or Social Services Assistance

Veteran / Military

Low Income

Prefer not to say / None of these apply

Choose Your Computer

C4PIN offers refurbished computers designed to fit a range of needs and budgets. If you already know what you want, selecting a computer helps us streamline the process and prepare your computer more quickly.

Review the options below, then select a computer using the radio buttons.

Want more details? Visit our What We Offer page.

Not sure what to choose? Do you have a special request? Select “I’m not sure — I’d like help choosing — I have a special request” below and we can help you decide.

💻

Base

Essential

$25 (Desktop) / $50 (Laptop)

A simple, affordable option for everyday basics.

Web browsing and email
Light schoolwork
Basic everyday use

Mainstream

$50 (Desktop) / $100 (Laptop)

A great all-around choice for most people.

School and office work
Zoom and video calls
Streaming and multitasking

🚀

Best

Premium

$100 (Desktop) / $150 (Laptop)

Higher performance for more demanding use.

Heavy multitasking
Creative work
More demanding applications

All computers include:

6-month warranty
Beginner-friendly guide to help you get started

We’ll show you how to get started with a quick 10-minute walkthrough when you pick up your computer.

Desktop computers also include a monitor, keyboard, and mouse.

💡

Choose a Computer

Select a computer that fits your budget and needs below, or choose the last option if you’re unsure.

Tip: Choosing a computer now lets you skip the appointment and get it faster.

Select a computer tier

Essential (Base)

Mainstream (Better)

Performance (Best)

I’m not sure — I’d like help choosing — I have a special request

Do you want a Laptop or a Desktop?

Laptop

Desktop

Estimated Price

Select a tier and device type

Desktop systems are typically priced lower than laptops in the same tier.

Computer Budget

Not sure which computer tier is right for you? Your budget helps us recommend the best fit.

Tip: We will use your budget along with the info you provide to help guide you to the best available option.

How much can you spend on a computer?

Additional Items

You can request additional items to go with your computer to better fit your needs.

Please note: Availability depends on what we have in stock at the time.

Please list any additional items you would like:

Additional Items

How Will You Use Your Computer?

This information helps us make sure your computer will work well for what you need.

Please select all the activities you plan to use your computer for:

Checkbox Field

School / Homework

Email, messaging, and social media

Video calls (Zoom, Teams, etc.)

Office work (documents, spreadsheets, presentations)

Web browsing and internet searches

Watching videos / streaming

Gaming

Photo or video editing / graphic design

Programming / coding

Anything else you’d like to use your computer for? (optional)

Share any other needs, preferences, software, or accessibility needs.

Additional Uses

Computer Experience

Tell us a bit about your experience using computers. This helps us recommend the right system and provide the best support.

You can include what you’ve used before and how comfortable you feel with computers.

Payment

We provide quality refurbished computers at affordable prices thanks to our all-volunteer team and community partners.

Please note: We do not offer free computers. Pricing helps cover essential operating costs and allows us to continue serving our community.

Please select your preferred payment method:

Will an agency be paying for the computer?

Yes, an agency will be paying

💡

Working with an agency?

If you are receiving services from a community organization or agency, they may be able to help cover the cost of your computer.

You can select “An agency will be paying” if this applies to you.

Agency Information

Agency Name

Who can we contact to veryify they have agreed to help you?

Agency Contact Information

Phone/Mobile

Anything else you’d like us to know?

If there’s anything important about your situation, needs, or preferences that you’d like to share, feel free to include it below.

Optional — this helps us better support you

Additional Information

How did you hear about us?

Online

Word of Mouth

Agency

Almost done!

Since you are not sure which computer tier is the best fit, our team will review your application and follow up to help you decide.

In many cases, we can help you choose the right computer through email or phone.

Please make sure your contact information is up to date. This helps us reach you quickly and keep the process moving smoothly.

Would you like to request an in-person appointment?

No, email or phone is fine

Yes

In-Person Appointments

In-person appointments are limited and depend on the availability of our volunteer team. In many cases and more quickly, we are able to help you choose the right computer through email or phone.

Last Step

Schedule an Appointment

You’re almost done. Use the button below to continue to the scheduler and choose an appointment time that works for you.

1

Click the button below to open our scheduling page.
2

Choose a day and time from the available appointment slots.
3

Complete your booking on the scheduler page.

✅

Ready to Continue

Click Schedule an appointment below to continue to the scheduler.

Tip: If you do not need an appointment, click Previous and select No, email or phone is fine.

You’re Almost Done

We’ll Help You Choose the Right Computer

Once you submit your application, our team will review your information and follow up using your preferred contact method.

1

We’ll review your application, budget, and computer needs.
2

We’ll contact you to help you choose the best available option.
3

Once a computer is selected, we’ll guide you through the next steps for preparation, payment, and pickup.

✅

One Last Step

Click Submit Application below to complete your request.

No appointment is needed at this time. If we need any additional information, we’ll reach out to you.

Last Step

Here’s What Happens Next

Once you submit your application, our team will review it and begin preparing your computer.

1

Our team will review your application.
2

We prepare your computer.

⏱ Usually ready in about 5 business days.
3

You come in to pay and pick up your computer.

📅 Weekdays, 9:00 AM – 2:00 PM.

✅

One Last Step

Please click Submit Application below to complete your request.

Donation Hours:
Monday-Friday 9am-1pm
Appointment Hours:
Monday-Friday 10am-3pm

Application for a computer — Bluefin Update

Computer Application Form

One-on-one appointments are currently very limited

Get Started

Contact Information

Eligibility Information

Choose Your Computer

Essential

Mainstream

Premium

Computer Budget

Additional Items

How Will You Use Your Computer?

Computer Experience

Payment

Anything else you’d like us to know?

Almost done!

In-Person Appointments

Schedule an Appointment

We’ll Help You Choose the Right Computer

Here’s What Happens Next

Thank You!