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IT Mobile support

(un)installation form

Your signs

Date:	Monday, September 6 2010, 12:55
Company name:	This field is mandatory *
Our contact:
Address:
ZIP code:
City:	This field is mandatory *
Telephone number:
Fax number:
E-mail:	This field is mandatoryInvalid. *

(note: the assembler can only work at a dry, heated and well lighted place)

If the installation address is different from the address mentioned above, please fill in the installation address below:

Installation address:

Address:
City:
Our contact:
Telephone number:

Uninstallation of:

License plate	Brand	Model

Installation of¹:

License plate	Brand	Model/year	Sensors?	Sensortype

Number of new systems²:

Preferred date/time³:

Date:
Time:

You need to agree! * I agree with the general conditions

 

Al our deliveries and services take place under the general conditions of the Federation of Dutch Companies in the Information Technology FENIT, which are deposited at the Clerk of the District’s Court of Justice at The Hague, number 1994/189. At your request we will send you an example.

1 Take into account that in case of a re-installation of a used system material has to be replaced. Standard the cabletrees and the GSM antennae (if used) will be replaced. These costs will be charged.

2 Indicate how many new systems ITmobile has to deliver. If you still have systems available which have been uninstalled before you may fill in 0.

3 This date will not guarantee the (un)installation takes place at this date. Take into account a delivery time of 2 till 3 weeks between giving the order and the date of (un)installation.