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Address*
Is there a specific date you need a pickup?*
Is this a one-time project?*
Is the equipment at one facility?*
Where is the equipment located?*

Is the equipment palletized?*
Is the equipment on the ground floor?*
If no, is there an elevator available?
Can hand carts be utilized to transport items?*
Does the location have a dock?*
Maximum size truck the location can accommodate?*
Is a lift gate needed?*
Is a pallet jack available?*
Is a forklift available?*
Scheduling required or any time limits on pickups?*
Does the freight company need an Insurance Certificate to enter facility?*
Is union labor required to enter the building?*
Is the equipment end-of-life or does it still have value?*

Equipment for Pickup

Total Number of Personal Computers (Insert 0 if none)
Estimated Weight in Pounds Per Unit (lbs) (Insert 0 if none)
If not standard, provide dimensions
Total Number of Laptops (Insert 0 if none)
Estimated Weight in Pounds Per Unit (lbs) (Insert 0 if none)
If not standard, provide dimensions
Total Number of Servers (Insert 0 if none)
Estimated Weight in Pounds Per Unit (lbs) (Insert 0 if none)
If not standard, provide dimensions
Total Number of LCD/LED Displays (Insert 0 if none)
Estimated Weight in Pounds Per Unit (lbs) (Insert 0 if none)
If not standard, provide dimensions
Total Number of Printers (Insert 0 if none)
Estimated Weight in Pounds Per Unit (lbs) (Insert 0 if none)
If not standard, provide dimensions
Total Number of Fax/Scanner/MFDs (Insert 0 if none)
Estimated Weight in Pounds Per Unit (lbs) (Insert 0 if none)
If not standard, provide dimensions
Total Number of Copiers (Insert 0 if none)
Estimated Weight in Pounds Per Unit (lbs) (Insert 0 if none)
If not standard, provide dimensions
Total Number of Networking (Insert 0 if none)
Estimated Weight in Pounds Per Unit (lbs) (Insert 0 if none)
If not standard, provide dimensions
Total Number of UPS (Insert 0 if none)
Estimated Weight in Pounds Per Unit (lbs) (Insert 0 if none)
If not standard, provide dimensions
Total Number of Boxes of Misc. (Insert 0 if none)
Estimated Weight in Pounds Per Unit (lbs) (Insert 0 if none)
If not standard, provide dimensions
Total Number of Other1 (Insert 0 if none)
Estimated Weight in Pounds Per Unit (lbs) (Insert 0 if none)
If not standard, provide dimensions
Total Number of Other2 (Insert 0 if none)
Estimated Weight in Pounds Per Unit (lbs) (Insert 0 if none)
If not standard, provide dimensions
Total Number of Other3 (Insert 0 if none)
Estimated Weight in Pounds Per Unit (lbs) (Insert 0 if none)
If not standard, provide dimensions
Project Budget*
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