Collection Request...


Fill out "In Full" 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 1
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Suite or Floor
Alternate Name or Number
* = Required Information
Your Internal Reference Number
This number will be used in all correspondence		 [?]

 

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: *
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By completing this form the customer agrees to payany freight, Check-in, Test, Audit, e-Waste, and data wiping fees Unless Otherwise specified.
Date * and Initial * If you agree


 

Note: While we endeavour to collect the units at the time you suggested above, we can not guarantee this will be the time / date of collection.