Book a Collection

ITAD REMOVAL QUESTIONNAIRE

Company Name

Company Representative Name

ID Number/ Company Reg Number (Optional)

Company VAT number (If Applicable)

Email Address

Additional Email Recipients

Phone Number

Region

Booking is for

Company Individual

Collection/Delivery

Collection Delivery Viewing/Audit

Select required service

Recycle E-Scrap

IT Asset Buy-back

Secure Data Destruction (Nist 800-88)

Condition of the equipment

Can you provide photos of the equipment?
(email to: disposal@itad.africa or WhatsApp to +27824413773)

Yes No

Do you have a list of the equipment? (If yes please provide)

Yes No

IT Asset Audit required (Nist 800-88 compliant)

Yes No

Required Hard Drive Destruction

Yes No

Required Hard Drive Erasure

Yes No

Types of hard drive erasure

Certified Erasure (This is for storage media that might contain classified information, erasure licensing fees might be incurred. Itemised reports provided) Standard Erasure (No fees applicable, non-itemised reporting)

What is the layout of the collection point?

1st floor/1 Level

Upper level with lift

Stairs (No lift)

National Key-point (Government Site)

Does the equipment need to be de-installed? (e.g. racked servers etc.)

Yes No

Does the collection team require full PPE?

Yes No

Estimated Load to be removed

How did you hear about us?

Select Account Manager

Appoint on Site Representative

Any Comments?

Booking No.:

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ITAD Africa (Head Office)

Unit 2, Cerimele Complex,
55 Adriana Crescent,
Gateway Industrial Park,
Rooihuiskraal, Centurion, 0154
T. +27 10 335 1852
E.

Cape Town Office

Unit 10 , Casadobe Park 2,
36 London Circle,
Brackengate Business Park,
Cape Town, 7560
T. +27 21 023 1559