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Add/Remove Printer

Customer Name(Required)

Main Contact Name for Device

First Last

Email(Required)

Phone(Required)

Device Serial Number(Required)

Host Name

If you would like UBS to include the "Host Name", please enter it here.

Manufacturer(Required)

Device OEM name (i.e. HP, Xerox, or Lexmark)

Device Model(Required)

Exact device model (i.e. LaserJet M602).

Asset Number

If the device has a UBS Asset number, please insert here. If you need more UBS Asset Tags, please contact your UBS representative.

Bldg. (Destination Label 3)

OUTER BOX LABEL INFO: Interior device location - helps identify device owner for toner/service (Store #, Room #, location ID, etc.)

Column/Cube (Destination Label 4)

OUTER BOX LABEL INFO: Interior device location - helps identify device owner for toner/service (Store #, Room #, location ID, etc.)

Shipping Address(Required)

Street Address Address Line 2 City State ZIP Code

Customer Billing Data

Fairfield
Moorestown
Manasquan