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Pick up Service
Contact Information
Pickup Location
Client Name :
Contact Name :
Phone :
E-mail Address :
Address :
City :
State or Province :
Zip Or Postal Code :
Requested Pickup Date (MM-DD-YYYY) :
Asset Details
Location Details
Type of Equipment
Number of Each:
Total # of Units
Desktop PCs (approx 35 lbs. each) :
Laptops (approx 12 lbs. each):
Monitors (approx 40 lbs. each)
Printers (approx 35 lbs. each)
Servers (approx 50 lbs. each)
Docking Stations (approx 20 lbs. each)
Port Replicators (approx 20 lbs. each)
Scanners (approx 20 lbs. each)
Terminals (approx 35 lbs. each):
Network Appliances:
Copiers:
Fax Machines:
Misc. (mice, power cords, keyboards)
Other (provide description below)
Where is the equipment located in the building? (i.e. floor, room, etc.)
Where is the equipment located in the building? (i.e. floor, room, etc.)
NO Yes
Is union labor required to enter the building?
NO Yes
Maximum size truck location can accommodate:
24' 25' 53'
Does the location have a dock?
NO Yes
Scheduling a specific pickup time required?
NO Yes
Is a lift gate needed?
NO Yes
Is a pallet jack available?
NO Yes
Is a forklift available?
NO Yes
Can hand carts be utilized to transport items from within building to dock/truck?
NO Yes
Internal doorway size?
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