EcoTech - IT Asset Disposal Form

Step 1 of 5

photocopiers Tablets Number

When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.

Customer Name

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Parking available?

Are the items located on the Ground Floor?

Any access restrictions to the site or the equipment ?

Extras