ReturnCenter.com

Please enter the following information:

* Lease Number:
* :
* :

What type of Equipment will you be returning?

Computer / IT

Copier / MFP

Medical

Other

Pickup Location:

* Zip:

Delivery Location:

* Location:
	Not sure where to ship your equipment?

Checkout Summary

Ship to:	Return to (Shipping Labels):

Qty	Item	Return Kit	Subtotal
Product Total:


*Return (Shipping Kit) Delivery:

Sales Tax:
Invoice Processing Fee:	$20.00

ORDER TOTAL:

What's Next?

	Your order will ship out within two business days.

	When you place your order, you will be emailed a confirmation/receipt. Your return shipping labels will be included in the box. When your order delivers, you will be emailed a confirmation.

	* The charges shown are based on the input you have provided. If the actual dimensions or weights exceed what was indicated, or if the pickup or delivery address is a residential address, you may be charged for any additional shipping charges, fees and penalties incurred.

	ALL SALES ARE FINAL

Checkout Summary

Requested pickup date:

Estimated delivery date:

Items to ship:

Services:		Amount
Full Service Shipping		$0

Invoice Processing Fee		$20

Total:		$0

What is your email address?

Create the password for your new account on ReturnCenter.com.

This will be your ReturnCenter.com username and password. Please store it where you keep other important information.

* Password:

Suggest

* Confirm Password:

Signed in as

Person in charge of returning equipment:

* Company:
* Name:
* Phone:
* Email:

Pickup Location:

* Company:
* Address:

* City, State, Zip:
	Use address as specified

Contact Person at Pickup Location: Same as Person in Charge

* Name:
* Phone:
* Cell / Alternate Phone:
* Email:

Alternate Site Contact:

The ability to guarantee contact for scheduling and pickup is essential for smooth service.

* Is there an Alternate Pickup Location Contact? YES NO

Delivery Location:

* Company:
* Address:

* City, State, Zip:
	Use address as specified

Checkout Summary

Order date:

Person in charge of returning equipment:

Ship to:	Return to (Shipping Labels):

Qty	Item	Return Kit	Subtotal
Product Total:

Outbound (Shipping Kit) Delivery:
*Return (Shipping Kit) Delivery:

Sales Tax:
Invoice Processing Fee:	$20.00

ORDER TOTAL:

What's Next?

	Your order will ship out within two business days.

	When you place your order, you will be emailed a confirmation/receipt. Your return shipping labels will be included in the box. When your order delivers, you will be emailed a confirmation.

	* The charges shown are based on the input you have provided. If the actual dimensions or weights exceed what was indicated, or if the pickup or delivery address is a residential address, you may be charged for any additional shipping charges, fees and penalties incurred.

	ALL SALES ARE FINAL

Checkout Summary

Requested pickup date:

Estimated delivery date:

Order date:

Person in charge of returning equipment:

Pickup at:	Delivery to:

Items to ship:

Services:		Amount
Full Service Shipping		$0

Invoice Processing Fee		$20

Total:		$0

Custom Quote Required

The pickup zip OR number of copiers for pickup OR equipment model will require a custom quote. Please continue through the process to receive a custom shipping quote via email.
Click Submit below to request your custom quote.
When ready, we will contact you by email with details.

Verify Order

YOU ARE NOT DONE YET! Please verify that all of the information above is correct.

If any information is incorrect, use the Previous button to step back and make the corrections.

If all information is correct, use the Next button for Payment Options.

Billing Information

Billing Address:	Same as Person in Charge
* First Name:
* Last Name:
* Company:
* Address:

* City, State, Zip:
* Phone Number:
* Email:

Checkout Payment

How would you like to pay for this?

Credit Card Invoice (Pay by check or ACH / wire transfer)

* Card Number:
* Expiration Date:	/
* Verification Code:
* Account Type:
* Routing Number:
* Account Number:
* Bank Name:
* Name on Account:
	Invoiced orders cannot be scheduled for pickup until payment is received and processed.
	Your invoice will be emailed to you as a PDF. No paper invoice will be sent.
	There is a processing fee of $20 for invoiced orders. (No fee applies for Credit Card payments)
	Invoice payment options will be shown on the next screen and on your invoice

Billing address: Same as Person in Charge
* First Name:
* Last Name:
* Company:
* Address:

* City, State, Zip:
* Phone Number:
Fax Number:

PO Number:

Download our Vendor W-9 here
Download our Vendor Proof of Insurance here

Order Logistics		Estimated Total
	Self Service. You pack it; we supply proper packaging and prepaid shipping labels.
	Full Service. ReturnCenter will arrange professionals to pack and pickup onsite. Includes required transit coverage.		**Custom Quote
**The pickup zip OR number of copiers for pickup OR equipment model will require a custom quote. Please continue through the process to receive a custom shipping quote via email.
	Full Service price includes the cost of cargo liability coverage for property damage or loss for the declared value for the assets during pick-up, transport and delivery.
Purchase Equipment
	I prefer to purchase this equipment rather than return it.	$500.00
Other Options
	My vendor / dealer will be returning the equipment.
	Vendor / dealer refers to the company that set up the lease and installed the equipment. Your vendor / dealer may have offered to return the asset(s) on your behalf at the end of lease. It is your responsibility to contact them to ascertain if they will perform the service for you.
	I will use my own shipping company to return the equipment.

*	I certify that this equipment:
	*	Is clean and free from all biohazard, including, but not limited to human or animal blood, tissue, fluids or compounds thereof.
	*	Was used for demonstration purposes and has not been used on human or animal blood, tissue, fluids or compounds thereof.
	*	Is packed in accordance with the above instructions.

Pickup Location:
Delivery Location:
Equipment Type:
Leasing Company:
Lease Number:

* Lease Return Due Date:
* Return Authorization:	Upload the Return Authorization document from your lessor or a detailed inventory list of equipment to ship.

	I need a Specific Day Pickup
	($150 extra charge applies)

	Important: We will make every effort to fulfill your request for a date-specific pickup. However, not all zip codes are serviced on a daily basis. We will advise if we cannot meet the date-specific request and issue a refund for that service. You will always receive a 24 hr. alert the day before the actual pickup with time frame.

	I acknowledge that use of ReturnCenter.com does not in any way alter the terms of the equipment lease or other agreement, and that ReturnCenter has no liability and makes no warranties whatsoever with respect to the equipment or the transactions between the lessor and me.
	I acknowledge and agree to Dell Financial Services Terms & Conditions: Terms and Conditions

Company:
Address:

City, State, Zip:

Contact Name:
Telephone:
Email:
Estimated Delivery Date: