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Collection Request Form

To arrange collection, please use the form below, or call to discuss our services - our friendly staff will be pleased to help and advise. If, however, you prefer that we visit to view the equipment for removal please contact us.

Please note that our payment terms are 30 days from date of invoice.

  FIelds that have an asterix * need to be completed
  
Company Name: *  
Company Address: *  
Collection Address
(if different)		  
Contact Name: *  
Contact Phone No: *  
Contact e-mail: *  
Preferred Date of Collection:  
Your Order No/Ref:  
     
Items for collection:
Item Qty
Monitor/CRT Screen (any size)
Flat Screen Display (any size)
PC Base Unit including mouse and keyboard
Laptops (including all ancillary items - case etc)
Server including installed devices (Tape Drives, HDD's etc)
Networking equipment (routers, hubs, firewalls etc)
Terminals (such as Wyse 60, 120 etc) including keyboard
Printers including laser printers and photocopiers
Ancillary Devices (External Tape Drives, External RAID etc)
Other Items (please list in additional information)
   
 
     
Additional Information:  
     
   

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