Relocation Form Current Start Preview Complete Indicates required field Please read before filling in × Information message Please make sure of the following: This site of the inquiry form is managed and operated by our company. As our return E-mail is created only for responding to your inquiry, please do not use the information contained for other purposes. We may not be able to meet your request for a response by a specified date or in the case of urgent inquiries. Customer Information Customer Name Are You Moving Office No Yes Billing Information Billing Address Phone/Mobile E-mail Confirm your E-mail address by typing the same E-mail address below. Confirm email Machine Pick Up Information Pickup Address Staircase No Yes Site Details Pickup Contact Person Pickup Contact Person's Phone/Mobile Relocation Information Preferred Pick up Date Preferred Pick up Time AM PM Security Clearance Required Yes No Machine Delivery Information Delivery Address Staircase No Yes Site Details Delivery Contact Person Delivery Contact Person's Phone/Mobile Machine Information 1 Product/Model 1 Serial Number Software Support Required or Reconfiguration of Device/Workstation No Yes Number of Workstations Accessories Location in Office Machine Information 2 Product/Model 2 Serial Number Software Support Required or Reconfiguration of Device/Workstation No Yes Number of Workstations Accessories Location in Office Machine Information 3 Product/Model 3 Serial Number Software Support Required or Reconfiguration of Device/Workstation No Yes Number of Workstations Accessories Location in Office × Information message Handling of personal information Please be advised that we will use your personal information, such as your name and email address, which you may provide via this form in order to serve you by sending our response to your inquiry. We may also have occasion to forward your personal information to our affiliated companies and/or distributors of our products and/or services in order to serve you quickly and efficiently. If you agree, please check the box below. I have read and agreed to the Privacy Policy. *In order to submit, you must agree to the Privacy Policy.
