Deployment Request

Date	PO#		Your Ref#

Authorizer			Company
Phone			Fax
Email

Deployment Site
Non-profit Organisation
Site Contact Person			Deployment Date
Phone			Deployment Time
Mobile
Email

Any special instructions

Item Description	Serial No	Model	Asset Number	REM REF








TOTAL ITEMS

This is a delivery	Equipment will be simply delivered to the destination, and further installation requirements will be left to the site contact.
This is a deployment	The equipment ordered will be delivered and installed by our technicians on-site.