Lexmark New Zealand Installation De-Installation Form

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New Zealand

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Lexmark Services

Service & Repairs

Installation / De-Installation Request

To request installation or de-installation, please enter the information below
and SUBMIT. A service representative will contact you within 24 hours
(Monday - Friday) to confirm your request.
Notes: Fields indicated in red are mandatory.
Form applicable to Australian / New Zealand customers only.

Your Name:

Phone Number:

Mobile Number:

Fax Number:

E-mail Address:

Preferred Method
of Contact:

Company Name:

Your Reference Number:

Installation Site:

Address:

Country

Serial Number:

Model:

Select your model from one of the following:

Mono Laser:

Colour Laser:

Multifunction Devices:

Other:

Date of Purchase:

(ie: dd/mm/year)

Supplier's Name:

(ie: Prestige Printers Distribution)

Supplier's Address:

(ie: Lane Cove, NSW, Aust.)

Installation Type:

Installation De-Installation

Installation/
De-Installation of:

Special Instructions

Multiple Installations

Identify ALL printer types (name / model) and serial numbers:

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