Form: Device and IT equipment request form
Note: Questions marked by * are mandatory
The ordering team will pick up this request and you will receive an offical quote soon.
What is your full name?
*
First Name
Last Name
What is your email address?
*
example@example.com
What is your job title?
*
What is your phone number?
*
What department do you work in?
*
What is your department cost centre?
*
Full Name of your budget approver?
*
Full Name of your Finance Manager?
*
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Form: Device and IT equipment request form
Note: Questions marked by * are mandatory
Please outline the business justification for this order?
*
Is this request for a new starter?
*
Yes
No
If yes, please enter their start date:
-
Day
-
Month
Year
Date
Does this request come under Reasonable Adjustment
*
Yes
No
If this request is for an expansion of your service.
*
Please Select
Yes
No
Is this a replacement for broken or End Of Life Equipment
*
Yes
No
Please describe expansion of your service below.
Is there any additional information we should know?
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Form: Device and IT equipment request form
Note: Questions marked by * are mandatory
What is the item you would like to order?
*
Desktop PC Base Unit Only
Desktop PC bundle (PC/Monitor/Keyboard/Mouse/Headset/WebCam)
Widescreen Monitor
Laptop Only - Non-SIM enabled
Laptop Only - SIM enabled
Laptop bundle Add-ons (Docking Station/Monitor/Keyboard/Mouse/Headset/Webcam)
Laptop Bag
USB Keyboard
USB 2 button Mouse
USB Keyboard - Smart Card Enabled
Headset for PC
Webcam
IPad
Something else
Quantity for Desktop PC Base Unit Only
Please Select
1
2
3
4
5
6
7
8
9
10
Quantity for Desktop PC bundle (PC/Monitor/Keyboard/Mouse/Headset/WebCam)
Please Select
1
2
3
4
5
6
7
8
9
10
Quantity for Widescreen Monitor
Please Select
1
2
3
4
5
6
7
8
9
10
Quantity for Laptop Only - Non-SIM enabled
Please Select
1
2
3
4
5
6
7
8
9
10
Quantity for Laptop Only - SIM enabled
Please Select
1
2
3
4
5
6
7
8
9
10
Quantity for Laptop bundle Add-ons (Docking Station/Monitor/Keyboard/Mouse/Headset/Webcam)
Please Select
1
2
3
4
5
6
7
8
9
10
Quantity for Laptop Bag
Please Select
1
2
3
4
5
6
7
8
9
10
Quantity for USB Keyboard
Please Select
1
2
3
4
5
6
7
8
9
10
Quantity for USB 2 button Mouse
Please Select
1
2
3
4
5
6
7
8
9
10
Quantity for USB Keyboard - Smart Card Enabled
Please Select
1
2
3
4
5
6
7
7
8
9
10
Quantity for Headset for PC
Please Select
1
2
3
4
5
6
7
8
9
10
Quantity for Webcam
Please Select
1
2
3
4
5
6
7
8
9
10
Quantity for IPad
Please Select
1
2
3
4
5
6
7
8
9
10
Something Else or Specialist equipment
Quantity
Please Select
1
2
3
4
5
6
7
8
9
10
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Submit
Should be Empty: