EQUPMENT MOVEREQUESTRequest Equipment MovePlease fill out the form below. If your prefer to contact us right now. (705) 560-4252 office@lasallebm.ca Please enable JavaScript in your browser to complete this form.Contact Name: *Company Name: *Email: *Phone: * Move FROM:Company Name:Company Address: *City: *Region: *Please selectAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonPostal Code: *Requested Pick-up: *Please describe the details about the location of current equipment: Move To: Company Name:Company Address: *City: *Region: *Please selectAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonPostal Code: *Requested Delivery: *Please describe the details about the future location: Equipment Information:Manufacturer & Model: *Machine ID or Serial #:Machine Type or Description:The machine currently is: *WorkingNot WorkingEquipment 2Check to ADD Additional EquipmentManufacturer & Model: *Machine ID or Serial #:Machine Type or Description:The machine currently is: *WorkingNot WorkingEquipment 3Check to ADD Additional EquipmentManufacturer & Model: *Machine ID or Serial #:Machine Type or Description:The machine currently is: *WorkingNot WorkingEquipment 4Check to ADD Additional EquipmentManufacturer & Model: *Machine ID or Serial #:Machine Type or Description:The machine currently is: WorkingNot WorkingEquipment 5Check to ADD Additional EquipmentManufacturer & Model:Machine ID or Serial #:Machine Type or Description:The machine currently is: *WorkingNot WorkingEquipment 6Check to ADD Additional EquipmentManufacturer & Model: *Machine ID or Serial #:Machine Type or Description:The machine currently is: *WorkingNot WorkingEquipment 7Check to ADD Additional EquipmentManufacturer & Model: *Machine ID or Serial #:Machine Type or Description:The machine currently is: *WorkingNot WorkingEquipment 8Check to ADD Additional EquipmentManufacturer & Model: *Machine ID or Serial #:Machine Type or Description:The machine currently is: *WorkingNot WorkingEquipment 9Check to ADD Additional EquipmentManufacturer & Model: *Machine ID or Serial #:Machine Type or Description:The machine currently is: *WorkingNot WorkingEquipment 10Check to ADD Additional EquipmentManufacturer & Model: *Machine ID or Serial #:Machine Type or Description:The machine currently is: *WorkingNot WorkingPlease include any additional useful information:MessageSEND - Move Request
