Equipment Pickup Request

  Date
Cost Centre
  Your Reference

  Requestor Company

  Authoriser   Phone
Email Fax

  Pickup Address
  Contact Person Alt. Contact
  Phone Phone
Email

Any special instructions
Quantity Item Description Condition Boxed?
Monitors
LCDs
Desktops
Laptops
Servers
Sml Printers
Lrg Printers
Scanners
Fax Machines
Networking Equip.
Peripherals
Cables, Keyboards, Mice
Other Enter Description Below
Description of Other:
 

Please click below to submit your request, we will reply confirming booking and will endeavour to complete your request within 3 working days.