Please complete this form if you have a requirement for Ricoh to relocate ten or less devices all from the same site address directly to another site address

Pick up dates less than 10 days into the future will inccur a priority charge. Pick up dates more than 10 days into the future have no priority charge
Please consider your own print policy before completing this form, allow 2 days for your request to be reviewed, approved and processed

If you have print device requirements across multiple sites, please submit a separate form for each site, or contact your Ricoh Orders Team on 02 8977 1460 or by email [email protected].





 
             
Your Details
             
           
               

Serial number :  
Model :  
Company name  
Your name  
Your email  
Phone  
Mobile :  
  Details correct ? :          
             
Existing Location
Existing site address :

 
Site name :  
Site address :  
Site building/level/room :  
Site street  
Site suburb  
Site state    
Site postcode      
Pick up contact name      
Pick up contact email      
Pick up contact phone      
  Pick up contact mobile :        
  Details correct ? :        
Stairs required to access devices ? :        
Security requirements for site ? :        
Comments from the customer ? :  
New Location
  New site address :        
Site name :  
  Site address :        
Site street :  
Site suburb :  
Site state :  
Site postcode :  
  Details correct ? :        
Same contact details as existing location :  
Delivery contact name :
  
Delivery contact email :  
Delivery contact phone :  
Delivery contact mobile :  
  More than one device to relocate ? :          
Stairs required to access devices ? :  
Security requirements for site ? :  
  Technician required ? :          
Comments from the customer ? :  
           
 
Serial Numbers At Existing Location
Validated Model
Building/Level/Room
 
             































Booking Details
Customer ref/PO ? :  
Pick up date ? :
 
Pick up time ? :  
Quote amount :    
           
  By clicking on submit you are agreeing to the pricing