Hardware Request
Please ensure that this form is used for all new hardware that is taken from stock. Stock is what has previously been bought, or and second hand equipment that is to be used for a customer.
Staff Requester Name:
Please Select
Eden Young
Phil Lohan
Jonathan Rutter
Mark Clayton
Roger Gooden
Fiona Audsley
Company Brand
Please Select
Selective Networks
Brontel Ltd
Totem Communications
Customer Services UK Numbers Ltd
Tech Acquisitions
Customer Company Name:
Customer Contact Name:
New/Existing Customer?
Please Select
New Customer
Existing Customer
Customer First Line Address
City
Post Code
Customer Contact Email Address
Back
Next
Include all Invoiceable items.
Are you selling this hardware?
Yes
No
Please fill in 'Send an Invoice Request' Once you have completed this form.
Reason for not selling to the customer?
Live Date/Delivery Of Items/Services To Customer
-
Month
-
Day
Year
Requester Signature
This confirms that the request by you and the customer is of a genuine nature. You confirm that this is accurate to the best of your knowledge. Any mistakes or financial losses, the requester maybe held accountable.
Submit
Should be Empty: