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You must either be invited by one of our team member or request an invitation by email at sales {at} rcn {dot} co {dot} nz .

Fill out and submit this form to initiate a collection request.
Once received, An RCN & Associates Ltd representative will
contact you.

Type of Request

Ewaste Disposal : Charges Apply (default)
Leased Asset Return : Contract Returns
Arranged Remarketing: Pre-arranged remarketing
Client Code :

Collection or Delivery

Is collection required : Yes /

No

Contact and site Info

Contact Name *
Contact Phone Number *
Contact Email *
Company Name *
Pickup Address
Suite or Floor
Alternate Name or Number
* = Required Information
Your Internal Reference Number

Equipment Status

Is Equipment Boxed Yes

 No
Is a lift gate truck required Yes

 No
Can site accept large Tractor Trailers Yes

 No
Equipment consolidated in one area? Yes

 No
Equipment on main floor Yes

 No
If not on main level, is elevator available Yes

 No
Is equipment on pallets Yes

 No
Preferred Collection Date
Preferred Collection Time
Collection will be charged at a rate of $6.50 + Gst per unit (main centers only)
Minimum charge of $45.00 + Gst

Quantity

Laptop Computers
Desktop Computers
Printers
Monitors
Servers
Racks
Other – Please note in comments
Notes & Comments

If you have documentation of units for collection as an Excel or CSV file…
Please Cut & Paste in to the above area

Invoicing Details

Invoice To: *

Admin Contact: *

Admin Email: *

Postal Address: *

By
completing this form the customer agrees to pay any freight, Check-in, Test, Audit, e-Waste, and data wiping fees Unless Otherwise specified.

Date

* and Initial

* If you agree


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