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Copier Services

Request to Cancel/Change out Copier

NOTE: This form is to be completed and submitted after the old copier is no longer to be used. Please do not submit this form until new equipment has been installed and a final meter read has been obtained from the old machine.

All fields are required.

   
Department Name
Name of Contact Person
Location
Phone
FAX
Email
 
Vendor
UK Copier Reference No.
Copier Serial No.
Make/Model
Date Copier No Longer in Use
Final Meter Read
Disposition of Copier
(e.g., was it sent to surplus, picked up by vendor, etc.?)