Equipment Estimate Form

Please complete and submit the form below. Once we receive the submitted form, we will contact you within 24 hours to complete a quote for removal. Require fields are marked with an asterisk (*).

Or let us do this for you. Just fill out the form with your name and contact information, leaving the other fields blank, and we will be in touch with you within 24 hours to obtain all necessary information.

Billing Information

*Business/Institution Name:
*Contact Name:
Business Address One:
Business Address Two:
City:
State:
Zip:
*Phone:
Fax:
*Email:
What are your payment procedures? :
How did you hear about Reclamere? :

Pick-up Information

Are the pick-up and billing addresses are the same:
Is there a requirement for a Certificate of Insurance while Reclamere employees are onsite? :
Business/Institution Name:
Contact Name:
Business Address One:
Business Address Two:
City:
State:
Zip:
Phone:
Fax:
Email:
What is the urgency of the pick-up? :

Equipment Location

Dock Access:
If yes, height of dock:
Ground Floor:
If no, what floor?:
Multiple Buildings:

If yes, additional pick-up location:

Address:
Address:
City:
State:
Zip:
Phone:
Other information for the driver:
How is the equipment grouped? :

Monitors

Monitors -- 15" and below:
Monitors -- 17":
Monitors -- 19" and 21":
Terminals:
Are any of the monitors scratched, have screen burns and/or broken/damaged? :

Apple/Mac

Apple/Mac 15" Monitors:
Apple/Mac 17" Monitors:
Apple/Mac 19" and 21" Monitors:
Apple/Mac CPUs:
Apple/Mac All-in-Ones (AIO):

Computers

Pentium II or less:
Pentium III:
Pentium 4:
Celerons:
Servers:
Are the CPUs Complete and Intact (i.e. No missing components and/or parts)? :
Are there multiple hard drives in the CPUs/Servers? :

Printers

DeskJet (Table top model):
LaserJet (Table top model):
Printer (Large floor model) :
Copier (Large floor model) :
Copier (Small table top model) :
Scanners/Fax Machines :

Services

Certified Data Destruction (Recommended):
Inventory Reporting:
Environmental Lot Certificate :
Asset Tag Removal :

Learn more about our services »

Miscellaneous

Mice, keyboards, cables, hubs, networking equipment, etc. :
Total weight of magnetic media (Backup tapes, floppies, CDs, etc.) :

Comments

Questions, comments :