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CRF Collection Request Form

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    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

    Security cage Yes/No

    File upload (optional)