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Company Name Installation Address Contact Name Contact Number CORRECT power supply must be available on day of installation The following machines require either single or three phase power supply as specified below - Machine model ordered HSM 450.2 HSM FA400 16 amp 5 pin CEE socket 32 amp 5 pin CEE socket If the system is to go into a lift, please confirm the lift dimensions and the weight loading capacity of the lift. Will the machine ordered fit through all doors Signed UNLOADING Forklift truck available Unloading area available Can the customer off load machine and put into required position ACCESS TO BUILDING Is the machine to be sited on the ground floor If other than ground floor please state which floor Are there are steps / stairs at entrance of building? Yes Yes Yes Yes No No No No I can confirm that all of the above has been checked and is satisfactory for the machine to be delivered and installed. I agree that should any of the above not conform to the requirements and the machine is not able to be installed as planned we will pay an additional charge of £250 (two hundred and fifty pounds) to cover the costs of rearrangement of the installation. OFFICE TECHNOLOGY HSM FA500.3 32 amp 5 pin CEE socket HSM HDS230 32 amp 5 pin CEE socket Important – The power supply must be connected to a Motor Rated Circuit Breaker or HRC Cartridge Fuse Please note: Our standard delivery charges are for ground floor delivery only where a fork lift truck is available. Additional charges will be applied where a forklift truck is not available, if machine is to be situated on any other floor or the delivery address has any restrictions to entrance of the building. Email Address HSM HDS150 STANDARD SINGLE PHASE 240V 3 PIN PLUG Yes No Name Date SITE SURVEY FORM FOR HSM FA POWERLINE SHREDDERS AND HARD DRIVE SHREDDERS Please return to - Sales@DonRuffles.co.uk or Fax - 0845 5555 008 Don Ruffles Limited 138 Victoria Road, Horley, Surrey RH6 7BF Tel 0845 5555 007 - Fax 0845 5555 008

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OFFICE TECHNOLOGY

Company Name

Installation Address

Contact Name

Contact Number

CORRECT power supply must be available on day of installation

The following machines require either single or three phase power supply as specified below -

Machine model ordered

HSM 450.2HSM FA400

16 amp 5 pin CEE socket32 amp 5 pin CEE socket

If the system is to go into a lift, please confirm the lift dimensions and the weight loading capacity of the lift.

Will the machine ordered fit through all doors

Signed

UNLOADING

Forklift truck available Unloading area available

Can the customer off load machine and put into required position ACCESS TO BUILDING

Is the machine to be sited on the ground floor

If other than ground floor please state which floor

Are there are steps / stairs at entrance of building?

Yes

I can confirm that all of the above has been checked and is satisfactory for the machine to be delivered and installed.

I agree that should any of the above not conform to the requirements and the machine is not

able to be installed as planned we will pay an additional charge of £250 (two hundred and fifty

pounds) to cover the costs of rearrangement of the installation.

OFFICETECHNOLOGY

HSM FA500.3 32 amp 5 pin CEE socket HSM HDS230 32 amp 5 pin CEE socket

Important – The power supply must be connected to a Motor Rated Circuit Breaker or HRC Cartridge Fuse

Please note: Our standard delivery charges are for ground floor delivery only where afork lift truck is available. Additional charges will be applied where a forklift truck isnot available, if machine is to be situated on any other floor or the delivery addresshas any restrictions to entrance of the building.

Email Address

HSM HDS150 STANDARD SINGLE PHASE 240V 3 PIN PLUG

Yes No

Name Date

SITE SURVEY FORM FOR HSM FA POWERLINE SHREDDERSAND HARD DRIVE SHREDDERS

Please return to - [email protected] or Fax - 0845 5555 008Don Ruffles Limited 138 Victoria Road, Horley, Surrey RH6 7BFTel 0845 5555 007 - Fax 0845 5555 008

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