Pricing Calculator

	Device Relocation Charge	Additional Device(s) Charge	Callout Charge	Labour Charge	Intercity Charges
Row 1×	Device Relocation Charge	Additional Device(s) Charge	Callout Charge	Labour Charge	Intercity Charges	×

Add Extra Devices/Connectivity

Estimated Cost
Estimated Cost
I Agree*
I Agree
I agree with the above rates schedule

Requestor Details

1_RequestorName*
Requestor Name
1_RequestorEmail*
Requestor Email
1_RequestorPhone*
Requester Phone Number

Account Name

2_AccountName*
Customer Account / Company Name
2_PurchaseOrder
Purchase Order (Optional)
2_PurchaseOrder
Cost Centre (Optional)

Pickup Address and Details

3_AlternativePickupContact
Alternative Contact
There Is an Alternative Pickup Contact
3_PickupBusinessName*
Building / Business Name (Pick Up)
3_PickupContactName*
Contact Name (Pick Up)
3_PickupContactNumber*
Contact Number (Pick Up)
3_PickupContactEmail*
Contact Email (Pick Up)
3_Pickup_Address1*
Room/Level/Building
3_Pickup_Address2*
House No, Street Name
3_Pickup_Address3*
Suburb
3_Pickup_Address4*
City/Region
3_PreferredPickupDate*
Preferred date for pick up:Note: Preferred Date in not guaranteed.
3_PreferredPickupTime*
Preferred time frame for pick up:
** PLEASE NOTE **
You have selected "Outside of Business Hours". Please note penalty rates will be applied to the quote.
3_SpecialPickup
Please enter any special instructions here, such as a request to collect at the same time as an already scheduled installation or notes regarding any analysis codes required.
3_OldSiteElevator*
Is there an elevator available onsite
3_StairsRequirements*
How many stairs will need to be climbed to collect the device (in the absence of an available elevator that may be used)?
3_SecurityChecks*
Are there any on site security requirements for accessing the site?
NoneInduction TrainingProbity CheckPrior NotificationSecurity CheckinSecurity CompanionAppointment Scheduling
Equipment Details
×
- 4_MachineModel*
  Model Name (eg Ricoh MP C4503)
- 4_MachineSerial*
  Serial Number
- 4_MachineTechRequired*
  Connectivity Engineer Required? (Optional)
- NB: Charges apply for initial re-installation for connectivity check or customer training, but this covers client’s understanding that follow up service calls for re-connection or further training are not part of standard service call contract coverage, unless specifically cited in the customer contract sales agreement.
Add Device

New Address Details

5_AlternativeDeliveryContact
Alternative Contact
There Is an Alternative Delivery Contact
5_SameAddress?
Same Address?
This Relocation is within the same address/building
5_DeliveryBusinessName*
Building / Business Name (Delivery)
5_DeliveryContactName*
Contact Name (Delivery)
5_DeliveryContactNumber*
Contact Number (Delivery)
5_DeliveryContactEmail*
Contact Email (Delivery)
5_DeliveryAddress1*
Room/Level/Building
5_DeliveryAddress2*
House No, Street Name
5_DeliveryAddress3*
Suburb
5_DeliveryAddress4*
City/Region
5_PreferredDeliveryDate*
Preferred date for delivery:Note: Preferred delivery date is not guaranteed
5_PreferredDeliveryTime*
Preferred time frame for delivery:
** PLEASE NOTE **
You have selected "Outside of Business Hours". Please note penalty rates will be applied to the quote.
5_SpecialDelivery
Please enter any special instructions here, such as a request to collect at the same time as an already scheduled installation or notes regarding any analysis codes required.
5_NewSiteElevator*
Is there an elevator available onsite
5_StairsRequirements*
How many stairs will need to be climbed to deliver the device (in the absence of an available elevator that may be used)?
5_SecurityChecks*
Are there any on site security requirements for accessing the site?
NoneInduction TrainingProbity CheckPrior NotificationSecurity CheckinSecurity CompanionAppointment Scheduling

Network Connectivity Contact Information

6_ConnectivityContactName
IT Connectivity Contact Name
6_ConnectivityContactPhone
IT Connectivity Contact Mobile Number
6_ConnectivityContactEmail
IT Connectivity Contact Email

Indemnity Acceptance

We hereby request Ricoh New Zealand to relocate the equipment as per above. In submitting this request we accept all risks regarding loss or damage to the equipment in un-installing, preparation for transport, transport by Ricoh New Zealand’s nominated carrier and re-installation at the nominated location. Further, we hereby indemnify Ricoh New Zealand Limited against any loss of data howsoever incurred.
I Agree*
I Agree
I agree with the above statement
Initial*
Initial

Machine Relocation Form

Pricing Calculator

Requestor Details

Account Name

Pickup Address and Details

Equipment Details

New Address Details

Network Connectivity Contact Information

Indemnity Acceptance