Equipment Collection Form

Collection Information:

Your Full Name

Your Mobile Number

Address 1

Address 2

Town/City

Postcode

Your Email Address

Items to Collect:

Laptop Make/Model

Serial Number

Item 2

Item 3

Item 4

Total boxes to collect (not unit qty inside boxes)

Preferred Collection Date

We are unable to book same day collections.

Collection will be between 09:00 - 17:30.

Comments

Accept Terms

I accept Terms and Conditions & Privacy Policy.

Transputec is helping Medidata to coordinate the collection of their equipment from yourselves. Please kindly provide the required information on this form to help them organise a collection.

Medidata Collection

Equipment Collection Form

Collection Information:

Items to Collect:

Please do not hand your Medidata collection to any courier unless they are DPD/Transputec Ltd.

Medidata Collection

Equipment Collection Form

Collection Information:

Items to Collect:

Please do not hand your Medidata collection to any courier unless they are DPD/Transputec Ltd.

The form has been submitted successfully.