Computer Buy Back Form...

* Name:

* Title:

* Company Name:

* Address:

* Postcode:

* Day Time Number:

Fax Number

* Email

* Quantity

* Type Choose one---- Laptop Desktop Server Midrange Server Mainframe Server Networking Storage System Printer Other

* Manufacture Choose one---- Cisco Dell EMC HP IBM SUN Other

* Model Number

* Cosmetic condition
(Assumes equipment itself is in full working order) Choose one---- Excellent condition/As new A few scratches Many scratches and small dents Other

Description/Notes:

Equipment availability Choose one---- Excellent condition/As new De-installed and ready to collect Within 2 weeks Within 1 weeks 1-3 months 3-6 months More than 6 months

Equipment access Choose one---- Ground level access Access via goods lift Difficult access

Site access Choose one---- Onsite parking Street parking

Certified recycling of equipment with no market value? Choose one---- Yes No

Hard drive shredding required? Choose one---- No Yes, onsite Yes, offsite

Additional manpower needed for collection? Choose one---- Yes No

De-installation/Rack removal required? Choose one---- Yes No

Please enter any additional information that may be important