Private: Test - Geeks on Wheels

URL
This field is for validation purposes and should be left unchanged.
Name*
First Last
Address*
Street Address Address Line 2 Suburb Town/City ZIP / Postal Code
Stairs or issues affecting access?*
- YES
- NO
Phone*
RECEIPT/ITV REFERENCE*
Delivery instructions
STOCK LOCATION*
AUCKLAND STORE*
STORE NAME*
Number Of Items*
MODEL NUMBER (NOT SKU) – ITEM 1*
SERVICE – ITEM 1*
TV SIZE (INCHES) – ITEM 1*
1. ADDITIONAL SERVICES REQUIRED?*
- YES
- NO
ADDITIONAL SERVICES – ITEM 1
- Soundbar Freestanding Setup
- Soundbar Mounted Setup
- Media Service Setup
- TV Removal from Existing Wall Bracket
- Extra Device Setup
- Data Transfer or Backup (up to 100GB)
- Smart Home 2 Device Add On
- Printer Setup Add On
- Old TV Trade-in
MODEL NUMBER (NOT SKU) – ITEM 2*
SERVICE – ITEM 2*
TV SIZE (INCHES) – ITEM 2*
2. ADDITIONAL SERVICES REQUIRED?*
- YES
- NO
ADDITIONAL SERVICES – ITEM 2
- Soundbar Freestanding Setup
- Soundbar Mounted Setup
- Media Service Setup
- TV Removal from Existing Wall Bracket
- Extra Device Setup
- Data Transfer or Backup (up to 100GB)
- Smart Home 2 Device Add On
- Printer Setup Add On
- Old TV Trade-in
MODEL NUMBER (NOT SKU) – ITEM 3*
SERVICE – ITEM 3*
TV SIZE (INCHES) – ITEM 3*
3. ADDITIONAL SERVICES REQUIRED?*
- YES
- NO
ADDITIONAL SERVICES – ITEM 3
- Soundbar Freestanding Setup
- Soundbar Mounted Setup
- Media Service Setup
- TV Removal from Existing Wall Bracket
- Extra Device Setup
- Data Transfer or Backup (up to 100GB)
- Smart Home 2 Device Add On
- Printer Setup Add On
- Old TV Trade-in
MODEL NUMBER (NOT SKU) – ITEM 4*
SERVICE – ITEM 4*
TV SIZE (INCHES) – ITEM 4*
4. ADDITIONAL SERVICES REQUIRED?*
- YES
- NO
ADDITIONAL SERVICES – ITEM 4
- Soundbar Freestanding Setup
- Soundbar Mounted Setup
- Media Service Setup
- TV Removal from Existing Wall Bracket
- Extra Device Setup
- Data Transfer or Backup (up to 100GB)
- Smart Home 2 Device Add On
- Printer Setup Add On
- Old TV Trade-in
MODEL NUMBER (NOT SKU) – ITEM 5*
SERVICE – ITEM 5*
TV SIZE (INCHES) – ITEM 5*
5. ADDITIONAL SERVICES REQUIRED?*
- YES
- NO
ADDITIONAL SERVICES – ITEM 5
- Soundbar Freestanding Setup
- Soundbar Mounted Setup
- Media Service Setup
- TV Removal from Existing Wall Bracket
- Extra Device Setup
- Data Transfer or Backup (up to 100GB)
- Smart Home 2 Device Add On
- Printer Setup Add On
- Old TV Trade-in
MODEL NUMBER (NOT SKU) – ITEM 6*
SERVICE – ITEM 6*
TV SIZE (INCHES) – ITEM 6*
6. ADDITIONAL SERVICES REQUIRED?*
- YES
- NO
ADDITIONAL SERVICES – ITEM 6
- Soundbar Freestanding Setup
- Soundbar Mounted Setup
- Media Service Setup
- TV Removal from Existing Wall Bracket
- Extra Device Setup
- Data Transfer or Backup (up to 100GB)
- Smart Home 2 Device Add On
- Printer Setup Add On
- Old TV Trade-in
MODEL NUMBER (NOT SKU) – ITEM 7*
SERVICE – ITEM 7*
TV SIZE (INCHES) – ITEM 7*
7. ADDITIONAL SERVICES REQUIRED?*
- YES
- NO
ADDITIONAL SERVICES – ITEM 7
- Soundbar Freestanding Setup
- Soundbar Mounted Setup
- Media Service Setup
- TV Removal from Existing Wall Bracket
- Extra Device Setup
- Data Transfer or Backup (up to 100GB)
- Smart Home 2 Device Add On
- Printer Setup Add On
- Old TV Trade-in
MODEL NUMBER (NOT SKU) – ITEM 8*
SERVICE – ITEM 8*
TV SIZE (INCHES) – ITEM 8*
8. ADDITIONAL SERVICES REQUIRED?*
- YES
- NO
ADDITIONAL SERVICES – ITEM 8
- Soundbar Freestanding Setup
- Soundbar Mounted Setup
- Media Service Setup
- TV Removal from Existing Wall Bracket
- Extra Device Setup
- Data Transfer or Backup (up to 100GB)
- Smart Home 2 Device Add On
- Printer Setup Add On
- Old TV Trade-in
GEEK+ INDIVIDUAL – $189/Year
- Add Subscription
STORE #*
COLLECTION DATE*
DD slash MM slash YYYY
CUSTOMER REQUESTED SERVICE DATE*
DD slash MM slash YYYY
PREFERRED DELIVERY TIME*
- AM (8am-12pm)
- PM (12pm-5pm)
- ANYTIME
ANYTIME means the customer will have to be home and available to accept delivery at all times between 8am and 5pm. If a smaller delivery window is needed then AM or PM must be selected. Please confirm or adjust.*
- Confirmed Anytime Delivery
ADDITIONAL NOTES
File upload
Accepted file types: csv, xls, xlsx, Max. file size: 100 MB.
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JB Hi-Fi + Geeks on Wheels Job Sheet TEST

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