Equipment Move Request
Contact Information
Customer Name:
Contact for Move:
Contact Phone #:
Installation Details
Date & Arrival Time Preferred:
Move From & To Room Numbers:
Equipment to be Moved pleae specify:
Wall Type (e.g., brick, drywall):
Aware of Asbestos?
New Location and Height Requirements:
Existing Fixtures to Remove:
Distance to Power Outlet:
Distance from SMART Board to PC:
Building Address:
Additional Concerns:
Submit