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UPS De-Installation Quote

First Name *

Last Name *

Company *

Job Title

Address

City

State/Prov.

Zip Code

Country

Phone Number *

E-mail Address *

How did you hear about us?

Battery Information

Battery Type

Please attach a photo, or url:

Attach a Photo

or paste URL here

Quantity

Weight Each

Make / Model

Battery Location

Building Floor Location

Inter-cell connectors still attached?

Yes No

Are you capable of placing the materials on pallets and banding them?

Yes No

Are all doors wide enough to get a pallet to the loading area?

Yes No

Is a freight elevator available for our use?

Yes No

Any steps, carpeting, ramps or obstacles between loading area and batteries?

Yes No

Which of the following are available for use at time of pick-up?

Pallet Jack Fork Lift Loading Dock

Are any of the batteries leaking or cracked?

Yes No

Are battery spill kits on site for emergency spills?

Yes No

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