Evaluation Loans provided by Hamilton Rentals
Acer Evaluation Application
Acer Evaluation Initiative - Application Form
Acer Evaluation Initiative - Application form
1 Applicant and Recipient Details Who > What > Why >
Sales Applicant Contact Details
Reseller
Applicant Name
Email Address
Tel Number (inc country code)

End User Customer Details
Company Name
Contact Name
NB T&C's must be signed by this person
2nd Contact Name
Email
Address
Country
Postcode/zipcode
Tel (inc country code)
Tel Mobile (inc country code)
Delivery Address (Tick to use same)
Address Line 1
Address Line 2
Address Line 3
Address Line 4
Country
Postcode/zipcode

Recipient's Acer Account Manager (if known)
Name
Email Address
Mobile Number
Acer Evaluation Requested Equipment
Please select the type of equipment you would like to loan

Product Details - individual application required for each Acer Evaluation product:
 
Selected Product:
Product Information:
 
Additional Products required:
e.g., Cables and HBA's etc
(charged at standard rental rates)
Eval Period Start Date
 
Eval duration: 1 Week    2 Weeks

Tick this box to request an installation quote


 
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Acer Eval Justification
What is the opportunity size in units & revenue?

Product being evaluated
No. of Sales of the evaluated product if successful
Total Value of the revenue generated on sales alone of this product
� k
Could this site be used as a reference?
Yes   No   Possibly
Other comments
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