Goitloop - Submit information

Submit the following information to Atea prior to return:

Order and/or serial number specified on the load carrier *

Contact person

Name *

Phone number *

E-mail *

Pick-up information

Address *

City *

Postal code *

Country *

Preferred pick-up date

Load carriers

Load carrier 1 (add 0 if none)

Number of laptops *

Number of desktops *

Number of monitors *

Number of phones *

Number of tablets *

Number of servers *

Number of switches *

Number of misc boxes (cables, routers, etc) *

Load carrier 2 (add 0 if none)

Number of laptops *

Number of desktops *

Number of monitors *

Number of phones *

Number of tablets *

Number of servers *

Number of switches *

Number of misc boxes (cables, routers, etc) *

Load carrier 3 (add 0 if none)

Number of laptops *

Number of desktops *

Number of monitors *

Number of phones *

Number of tablets *

Number of servers *

Number of switches *

Number of misc boxes (cables, routers, etc) *

Load carrier 4 (add 0 if none)

Number of laptops *

Number of desktops *

Number of monitors *

Number of phones *

Number of tablets *

Number of servers *

Number of switches *

Number of misc boxes (cables, routers, etc) *

Load carrier 5 (add 0 if none)

Number of laptops *

Number of desktops *

Number of monitors *

Number of phones *

Number of tablets *

Number of servers *

Number of switches *

Number of misc boxes (cables, routers, etc) *

Load carrier 6 (add 0 if none)

Number of laptops *

Number of desktops *

Number of monitors *

Number of phones *

Number of tablets *

Number of servers *

Number of switches *

Number of misc boxes (cables, routers, etc) *

I consent *

By consent, you accept that we store your data in our systems. Read more in our privacy statement.

I consent