Goods to be collected from: Customer Company Name Pickup Company Name, Address and Country Post Code Collection Date (format: YYYY-MM-DD) Timed Collection Client Contact (1) Email address Phone No. VAT Number/Tax ID Bank information BIC/Swift Code IBAN Number Account Number Product Expected Qty Equipment Deinstallation Required Additonal Information Servers YESNO Desktops YESNO Laptops YESNO 15" Monitors YESNO 17" Monitors YESNO 19" Monitors YESNO 21" Monitors YESNO WEEE: Keyboards YESNO Mice YESNO Cables YESNO If products are not the above specification please complete below table.If below table is not complete Tier1 will not be held responsible for collections not carried out in full. Write dimensions and weight per colli. Product Height (cm) Width (cm) Depth (cm) Weight (kg) Product Requires Dismantling / Deinstalled New Estimated Number of Pallets: Actual Number of Pallets: IF YOU REQUIRE PRODUCT TO BE COLLECTED PLEASE ANSWER THE FOLLOWING QUESTIONS: Are there any restrictions to vehicle access? Are there any parking restrictions, ex. yellow lines, bus lanes etc? Are there any Vehicle restrictions, regarding weight/height/width etc..? YESNODetails: Are there any Council Parking Permits required? YESNODetails: Are there lifts available for use? YESNODetails: Are there any security restrictions? YESNODetails: Where is product located (state ground floor etc..)? What are the opening hours for collection? If you have indicated that equipment is not dismantled / deinstalled and you wish Tier1 to provide such services please outline below what you require. What mechanical handling equipment is available? e.g. fork lift, porter barrow BIOS Password, if the machines have a password please fill out YESNO Have you packed the goods yourself? YESNO Request packing material Additional information (please provide as much additional information, which will assist in collecting the products).