Customer/Company Name Street Address Suite/Floor/Unit # City/State/Zip Code Site Information Onsite Customer Contact: Name Contact Phone Number Are there any stairs the equipment will need to go up or down during placement/removal? (if yes, please provide a photo if possible) Yes No Photo Files must be less than 2 MB.Allowed file types: gif jpg jpeg png. Is an elevator available? Yes No Is a loading dock available? Yes No IT Contact IT Contact Name Contact Phone Number Contact Email Address IT Support Staff Is: Always Onsite Offsite, available by remote support Available by appointment We DO NOT have IT support staff
