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Komputers 4 R Kids services the requested pick ups within Southern California only. Minimum of 15 items required for pick up.

What is the address of the requested pickup?
Street Number and Name:
City:
Zip Code:

Who is the contact person for the pickup?
Name:
Phone Number:
Email:

What is the company or individuals name you would like the tax deductible receipt made out to?
Name:
Address:
If any of the items you are requesting for pickup are PC's, are they complete systems or have you removed components from them? (IE. Ram, Hard Drive, CPU, Disk Drives, etc.)
Complete Incomplete
Is your equipment staged for pick up in one central area or room?
Yes No
Some companies require that all asset tags be removed and all items being donated inventoried. If your company requires this, please have this done prior to our arrival.
Does your company require this?
Yes No
If you are in a high-rise sometimes building security or on-site property management may need a list of the items that will be removed from the building. Please have this cleared before our arrival.
Have you checked into this?
Yes No
Is your old equipment palletized?
Yes No
Do you have a fork lift?
Yes No
Do you have a loading dock?
Yes No
Do you have freight elevators?
Yes No
The rooms that your old equipment is in, how wide are the doors? Our carts are 32.5" inches wide and 62" inches long. If our carts do not fit, all items must be staged to where they can be reached by our carts.
Will our carts fit?
Yes No
Is everything on the first floor? Yes No
Can we roll carts to where the equipment is at? Yes No
Has all equipment been disconnected? Yes No
Will there be any one to assist us?
Yes No
Are there any extremely large, heavy and bulky items like copiers?
Yes No
Below is a picture of the truck to give you an idea of how we will be moving your old equipment. Is there a place to park a 14ft box truck? Yes No

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