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Request an Asset Pickup
Please complete all portions of the form and submit for fastest service.

Contact Information

Client Name*

Contact Name*

Phone*

E-mail Address*

* required

Pickup Location

Address

City

State or Province

Zip Or Postal Code

Requested Pickup Date (MM-DD-YYYY)


Asset Details

Total # of Units

Type of Equipment

Number of Each:

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)

Hubs

Copiers

Fax Machines

Misc. (mice, power cords, keyboards)

Other (provide description below)

Location Details

Where is the equipment located in the building?
(i.e. floor, room, etc.)

Will we need a Certificate of Insurance to enter the facility?
No Yes

Is union labor required to enter the building?
No Yes

Maximum size truck location can accommodate:
24' 45' 53'

Does the location have a dock?
No Yes

Dock Hours of Operation:

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

Where is the palletizing/shrink-wrapping to be done?
(e.g. dock, parking lot)

Internal doorway size?


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