Eligibility CLIC-OPEQ Program

* Required fields
Once the order is complete, click on the Submit button.
If the summary of your order is not displayed, make sure that all fields are filled.
Note: Some fields only accept numbers.
NPO Name*
NPO Email
Adress*
Adress City State/Province Postal Code
Phone*
Fax
Québec Enterprise Number (NEQ)*
The Québec enterprise number (NEQ) is a ten-digit numerical identifier assigned to enterprises that register in the enterprise register.
Non-profit organizations
Canada Revenue Agency Charities Registration Number
NAME OF THE PROJECT PRIME
Name*
Title*
Phone*
Email*
Targeted Clients*
OTHER MICROCOMPUTING NEEDS
What kind of equipment ?
- Ordinateur de table
- Ordinateur portable
- Écran pour ordinateur
- Imprimante tout-en-un laser
- Autre

NAME OF THE PROJECT PRIME