Goods to be collected from: T1A KO-number Customer reference: Company Name* Address* ZIP code* City* Country* Local contact Name: * Email address * Telephone No.* Mobile No.* Goods to be delivered to: Company Name Tier1 Asset A/S Address Solvang 6 Postcode DK-3450 City Allerød Country Denmark T1A Contact Logistic Telephone No. +45 70250760 Email logistik@tier1asset.com We hereby declare that all equipment requested to be collected is fully functional (EEE). Collection information Collection Date (optional/preferred) Opening Hours for Collection Collection from (ground floor, etc.) Please be aware that standard collection is from curb side/ground floor. If units are "locked" with BIOS / HDD password please provide in fields below: BIOS Password: HDD Password: Bank information BIC/Swift Code IBAN Number Account Number VAT number/TAX ID Product Type Expected qty. Additional Information/model Laptops Desktops Servers Monitors/TFT's Docking Stations/Port Replicators Hard drives (HDDs) Smartphones/tablets Office Printers MFP Printers (please specify dimensions in below form) Miscellaneous Mice Keyboards Cables Network products Singebox Yes/No YESNO Security cage Yes/No YESNO File upload (optional)