EraseIT

Collection Location

Is the equipment boxed?	Yes	No	Unknown	Other
Is a Lift-Gate Truck required?	Yes	No	Unknown	Other
Can site accept large trucks?	Yes	No	Unknown	Other
Is equipment consolidated in one area?	Yes	No	Unknown	Other
Is equipment in loading bay?	Yes	No	Unknown	Other
If not on main level, is an elevator available?	Yes	No	Unknown	Other
Is equipment on pallets?	Yes	No	Unknown	Other
Special Instructions to Pickup Carrier:
Preferred Collection Date:
Preferred Collection Time:	Please enter a time (e.g. 10.00am) between the hours of 9.00am to 12.00pm and 2.00pm to 5.00pm.

Description	Quantity
Communication Equipment:
Desktop Computers:
Laptop Computers:
Miscellaneous Items:
Monitors:
Multimedia Equipment:
Network Equipment:
Point Of Sale Equipment:
Printers:
Servers:
Storage Devices:
Secure Media Destruction Bin:
Additional Information:
Upload a spreadsheet containing details of your decommissioned products
Terms and Conditions: By completing this form the customer agrees to pay all fees and charges associated with the provision of the services required. This Asset Collection Authority is subject to the provisions of the Secure Asset Disposal Agreement signed between the parties. If this form does not Submit, please make sure all mandatory fields (marked in red) are complete

ABN: 21 137 463 793
1 Tarver Street, Port Melbourne VIC 3207
P.O Box 5100 Port Melbourne VIC 3207