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Quotation Request Form
Client Name *
Collection
Address *
Contact Name *
Contact Number *
Contact Email *
Billing Address *
Functions required
Data Destruction-At your site
Yes
No
# of HDD's
Data Sanitation-At your site
Yes
No
# of HDD's
Data Destruction-At our site
Yes
No
# of HDD's
Data Sanitation-At our site
Yes
No
# of HDD's
LCD Monitors:
Total Usable
Total Unusable
CRT Monitors:
Total Usable
Total Unusable
Laptops:
Total Usable
Total Unusable
Desktop:
Total Usable
Total Unusable
Keyboards:
Total Usable
Total Unusable
Mouse:
Total Usable
Total Unusable
Printers:
Total Usable
Total Unusable
Networking Equipment:
Total Usable
Total Unusable
Firewalls:
Total Usable
Total Unusable
Servers:
Total Usable
Total Unusable
Other(Please specify):
Total Usable
Total Unusable
Submit
