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Requester's Details
Your First Name *	Your Last Name *
Phone (Direct Dial) *	Email Address *
Phone (Main Line)	Website
Mobile
Fax
Company Name
Building Name	Floor Number	You may use 0 for Ground Floor, leave blank if not applicable
Street Name *	Street Number		Unit Number
Suburb *	City/Town *
State	Post Code
Country *		Also Use as Postal Address

Authoriser's Details
Authoriser First Name *	Authoriser Last Name *
Phone (Direct Dial) *	Email Address *
Phone (Main Line)	Website
Mobile
Fax
Company Name
Building Name	Floor Number	You may use 0 for Ground Floor, leave blank if not applicable
Street Name	Street Number		Unit Number
Suburb	City/Town
State	Post Code
Country		Also Use as Postal Address

Pickup Address Details
Primary Site Contact's Details
Secondary Site Contact's Details (optional)
Company Name
Building Name	Floor Number	You may use 0 for Ground Floor, leave blank if not applicable
Street Name *	Street Number		Unit Number
Suburb *	City/Town *
State	Post Code
Country *		Also Use as Postal Address
Site Contact First Name *	Site Contact Last Name *
Phone (Direct Dial) *	Email Address *
Phone (Main Line)	Website
Mobile
Fax
Site Contact First Name	Site Contact Last Name
Phone (Direct Dial)	Email Address
Phone (Main Line)	Website
Mobile
Fax

Instructions

Your Reference

Cost Centre

Purchase Order Number

Item Details *			Upload Files... \| Advanced View
Quantity	Item	Condition	Comments	Boxed?

Special Requirements

	Quote Required We will issue a quote for your approval based on the information you supplied, and await your reply before booking in the items for pickup.
	Catalogue Required We will create a detailed report on the equipment recieved, including specs, serial and asset numbers, condition and value if needed. (additional charges may apply)
	Recycle Equipment Tick this option only if you deem the equipment to be of no value to you and would like it sent straight to recycling. Unless a catalogue has been requested, you will not recieve a report. We will only record the weight once recieved.
	Security Wiped by customer prior to pickup or delivery The customer has already security wiped hard drives and devices.
	Security Wipe Hard Drives (No cerification required) We will security wipe all hard drives, however no certification will be provided.
	Security Wipe Hard Drives (Advanced Wipe with Blancco Certified HMG IS5/ DoD 5220.22-M) We will security wipe all hard drives with a certified minimum 3 pass wipe using Blancco. (additional charges per hard drive apply)
	Serial Scan on Receipt Our warehouse staff will scan all the serials with our purpose built LogiScan application as soon as your equipment arrives. An automated report will be emailed to you that compares against what you asked to be collected. (additional charges may apply)
	Destroy All Hard Drives (NZISM compliant 12mm shred) We will destroy all hard drives using our in-house NZISM compliant shredder. (additional charges per hard drive apply)
	Destroy All Hard Drives (NZISM compliant 3mm shred) We will destroy all hard drives using our in-house NZISM compliant shredder. (additional charges per hard drive apply)
	Destroy All Hard Drives (NZISM compliant 2mm shred) We will destroy all hard drives using our in-house NZISM compliant shredder. (additional charges per hard drive appy)
	Lease Returns This shipment may contain leased gear that will need to be returned to the leasing agent.
	For Resale This shipment is to be resold for us to our staff or public (we will offset proceeds against our costs and pay remaining to you)
	For Storage This shipment is to be stored at the Remarkit warehouse until further notice or requested for dispatch.
	Pre-arranged Agreement Please carry out as per our pre-arranged special agreement.

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

Shipment #

SERVICE STATUS: No Known Problems.

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