Request for Machine Relocation

Please update the form below and an acknowlegement receipt will be displayed upon submission. A quotation will also be sent to you from our Customer Liaison Officer. Upon receipt of the quotation, kindly reply the email to confirm to proceed the relocation request.
[REQUIRED] *Requestor Name:	Mr. Ms.
[REQUIRED] *Requestor Email:
[REQUIRED] *Company Name:
[REQUIRED] *Billing Address:
Postal Code:
[REQUIRED] *Relocation Date:
Preferred Time:	AM PM
[REQUIRED] *Is the relocation request  outside of Singapore  island?	YES NO
[REQUIRED] *Is there a shift in your  office location?	YES NO

Equipment Location
Present Location:			New Location:
[REQUIRED] *Staircase:	YES NO		[REQUIRED] *Staircase:	YES NO
[REQUIRED] *Address:			[REQUIRED] *Address:
[REQUIRED] *Postal Code:			[REQUIRED] *Postal Code:
Contact person:			Contact person:
Tel/Mobile No:			Tel/Mobile No:

Equipments Model and Serial
[REQUIRED] *Equipment Model	[REQUIRED] *Equipment Serial No
1)
2)

Equipment Accessories
Accessories	YES NO
	1)
	2)

Others
Software Driver Installation:	YES NO
No of Work Stations per machine:
Remarks:
[REQUIRED] indicates mandatory field.

TERMS & CONDITIONS