Please provide information requested below and select "Submit" at the bottom of the page when completed. NOTE: areas marked with Sea Blue are required fields. If you would like a print version for your records, please select "Print" PRIOR to submitting. You will receive your quotation or be contacted by our Customer Service Representative for the area identified in the Equipment Location section below within 24-48 hours of submitting your request.

Request Details:                                                                                                    Date Requested:  Wednesday, April 24, 2024

Requestor Company Requestor Cust. Ref. # Quotation Required Date    (mm/dd/yyyy) Email Phone # Ext Select nearest warehouse: Select value BRAMPTON CALGARY VANCOUVER MONTREAL TORONTO BARRIE OTTAWA HAMILTON EDMONTON RECYCLING - EDMONTON ITAD How did you hear about our online Quotation Service Offering: Select value Quantum Lifecycle Partners contact I'm an existing customer Quantum Lifecycle Partners Website Other Website Trade Show Referral Other My account manager is: Select value Aurore Courtieux-Boinot Dawn Brand Mary Pirrolas Michelle Eddy Sarah More Alyson Hall Unknown

Equipment Location Details:

Company Name Street Address Suite Country Select value CANADA USA ANTIGUA ARGENTINA ARUBA BAHAMAS BARBADOS BELIZE BONAIRE CAYMAN ISLAND COLOMBIA COSTA RICA CURACAO DOMINICA EL SALVADOR ENGLAND GRENADA GUATEMALA GUYANA HONDURAS JAMAICA MEXICO MONSTERRAT NICARAGUA PANAMA SABA SAINT LUCIA ST MAARTEN ST. KITTS & NEVIS ST.VINCENT & BEQUIA SURINAME TOBAGO TRINIDAD Prov./State City Postal/Zip Loading Dock Select value Yes No Unknown Elevators Select value Yes No Freight Equipment Palletized Select value Yes No Unknown Loading Dock Hours After Hours Pickup Select value Yes No Weekend Loading Dock Restrictions --Selecting "Unknown" will result in higher shipping costs being quoted

Services Required:

OPTION End of life - NO Data Security, Bulk Reporting GTMS Services - includes Data Security and Environmental Disposal Certificates and/or serial number level reporting. Shipping Select value Customer Delivered Quantum Lifecycle Partners Pickup Data Security Select value Not Required - Customer must sign waiver Manual Destruction 1x Wipe 3x Wipe - DoD Standard 7x Wipe - German Standard Unknown --Selecting "Unknown" will result in quote for a 3X wipe

Equipment Details:

CPUs  Monitors  Laptops  Printers  Servers  Others

Estimated Total Units: Other Details Attachment File: Please insert detailed product listing for accurate quotation, including quantities, make, model and configuration of equipment

Equipment Details: Additional Info:

Quote will be based on following assumptions unless otherwise noted above:

--Equipment will be processed at closest Quantum Lifecycle Partners facility. --Shipping product charges quoted are based on pickups during REGULAR business hours (Mon-Fri 9-4) unless otherwise stated and are subject to change based on site conditions, equipment size,weight etc. --All Quotes will be valid for 30 days from Quote Date. Product value for released thereafter is subject to adjustment based on market value at time of release. GTMS Quotes: --Assumes all equipment is complete and in good working condition - GRADE A COMPLETE - reductions may apply based on audit results. --Recycle fee applies to equipment that fails audit and test and has no market value.