Installation Booking Form Installation Booking Form Company* Name* Phone* Email* Address* Street AddressCityState / Province / RegionZIP / Postal Code Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Côte d’Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Sudan, South Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Country Parking Available Yes No Excessive local parking fees may result in an additional charge at cost. Order Number Installation Required Setup and demonstration of printer and user maintenance Setup and demonstration of camera Setup and demonstration of software (in 2 templates) Don’t Know/Unsure Prefered Date Preferred Time : HH MM AM PM Key Operators Install Notes Operating System* Not Specified (Required) Windows 7 [32] Windows 7 [64] Vista XP Other Not Sure O/S Access USB Power Data Access Card Design Ethernet TCP/ICP IT Staff Equipment Being brought by technician I have package here but have not unpacked Still waiting for it to arrive Don’t know/unsure Incorrect information that leads to delays onsite may cause the installation to be cancelled, rescheduled at an additional cost, extra hours billed. Standard hourly rates for installations are $175 (Brisbane, Sydney, Melbourne metro areas). An installation fee quoted by Salesman included 1.5 hours unless otherwise stated. PLEASE DETAIL ANY SPECIAL REQUESTS OR INFORMATION THAT WILL ASSIST THE INSTALL PREPARATIONS By pressing the below “confirm request” button you are agreeing that information provided is correct to the best of your knowledge and every attempt has been made to ensure correct preparations of site, data, designs and images are complete. Once you press the “confirm request” button you will be forwarded an email with the above details. By forwarding this email onto our service department you are agreeing to the pricing schedule as outlined above and understand that insurance on shipments is the responsibility of the sender (even if arranged by PPC on PPC’s account). Incorrect or poor packaging may void warranty. Payment terms are net 7 days from invoice. Name This field is for validation purposes and should be left unchanged. Share this: Email