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Indicates Required Field
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Date Work Order Released:
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Customer Name:
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Please indicate the customer name in this field.
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Contact Name:
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Please indicate the contact name in this field.
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Contact Email:
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Please type in the e-mail address for the person responsible for communication between MBI and the client.
Contact telephone #:
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Please enter your contact telephone number.
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RA # / Metrix ID #:
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If RA # is applicable: this number is found at the bottom of the GE Technology Finance End of Term Lease Return Request Form. If you have multiple numbers one will be sufficient. If your return form does not have this number at the bottom you have not completed the process in its entirety with GE Technology Finance and MBI cannot accept your delivery without it ---- If Metrix ID # is applicable: please include 7 digit ticket number assigned to your return.
Street Name/Number:
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Please enter your street name.
City:
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Please enter your city.
Providence:
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Please enter your province.
Postal Code:
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Please enter the postal code.
Number of Pieces Returning:
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Please put in the amount of boxes you are shipping to us or if the units are skidded please indicate the amount of individual units on the skids i.e. 3 skids with 20 boxes on each.
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File Upload
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Zip the New folder from the tabernus wipe key and attach here to submit log files for the equipment for this WO.
( 1 file only, max file size 1024kb. Allowed file formats are .doc, .pdf, .zip, and .rar)
Choose File
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Hardware Description / Explanation of Work Done:
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If returning GE Leased hardwaare: Please describe what major components you are shipping briefly i.e. 10 monitors, 10 systems --- If returning DMSP removal hardware: Please describe what major components you are shipping, a description of the work performed, also please indicate any issues identified by serial # i.e. equipment which was not located, hard ware issues, non wiped equipment, etc.
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Is the shipment on Skids?
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Please indicate yes or no.( 1 file only, max file size 1024kb. Allowed file formats are .doc, .pdf, .zip, and .rar)
Select one...
Yes
No
Monitor only no logs required:
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Check this box if your shipment contains NO WIPEABLE EQUIPMENT ONLY.
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