New PC Request Form

Completing this form will assist Colden Company Inc. in providing a high quality workstation that is custom-tailored for your company’s specific needs. If you have any questions, please do not hesitate to contact us at (888) 600-4560 or sales@coldencompany.com.

Please complete one form per workstation.

Name*

Your Email *

What type of PC is required? *
Laptop - 13" ScreenLaptop - 14" ScreenLaptop - 15" ScreenLaptop - 17" ScreenDesktop - Tower (Medium)Desktop - Desktop (Small)Desktop - Small Form Factor (Smaller)Desktop - Ultra Small Form Factor (Smallest)

Will this PC replace an existing PC?

Who will be the primary user? *

Will encryption be needed to protect sensitive data to comply with PCI DSS, HIPAA or other requirements? *

Monitor *
Single MonitorDual MonitorsNo Monitor

Monitor Size - Select the desired monitor size. Select more than one for multiple options in the proposal. NOTE: options are for widescreen monitors.
19"20"22"23"24"

Productivity Software * - Please check all that apply.
Microsoft Office Home and Business 2016 (Word, Excel, Outlook, Powerpoint, OneNote)Microsoft Office Professional 2016 (same as Home and Business with the addition of Access and Publisher)Adobe Acrobat DC StandardAdobe Acrobat DC ProfessionalNo Productivity Software

Memory (RAM)
2 GB4 GB8 GB16 GB

Hard Drive (storage for programs and data)

Budget

Battery Backup\Surge Protection
Yes!I'll take my chances

Software that will run on this PC

Accessories
Laptop Carrying CaseOther

Additional Requirements