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Home / Programs & Resources / Simon Technology Center / SUPER / Seller Form

SUPER

Seller Form

Please complete the form below to add an item for sale to the SUPER Service and submit, call, fax or e-mail this information to Simon Technology Center. If you are selling more than one item, you will need to fill to a new form for each item. Seller agrees that each item for sale is in working condition. SUPER Service staff does not provide technical support and is not responsible for the quality and usability of items posted on this site. Please direct any questions to stc@pacer.org or call 1-800-53PACER and speak with the Simon Technology Center staff.

Please provide the following Seller information:

After entering your information, please scroll all the way to the bottom and click the button marked "Send my message".

Fields that begin with * are required

* First name  

* Last name  

* Street Address  

* City  

* State   

* Zip   

At least 1 form of contact information must be given.

Phone 

E-mail  

* Applicable Category  Ambulation / Walking Architectural Adaptation Augmentative Communication Computer Hardware / Software Daily Living Aids Environmental Controls Ergonomics Health / Therapy Prosthetics / Orthotics Ramps / Lifts Recreation / Leisure Seating / Positioning Transportation Vision / Hearing Technology Wheel Chairs / Scooters

* Item name:   

Vendor of Item:  

* Brief Description (Including: age of item, color, size, condition, any other relevant info about use)   
(Max 2000 chars)

* Minimum asking price:  

You can supply up to 3 image links for your product. You can upload your images to a free hosting provider such as:

• Image Shack
• Photo Bucket
• iwebphoto
• tinypic

Then include the URL to your images here to be included in your posting.

Image 1 link:   

Image 2 link:   

Image 3 link:   

E-mail: stc@pacer.org  Fax: 952.838.0199 (attention STC SUPER Service)  Call 1.800.53PACER