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Trade In Form – Wade Asset Management Group

Call us: +61 3 8376 6284
Email: support24-7@gmail.com

Trade In Form

Rep

Name

Email

Phone

Location of Trade in

Office/ Dr Name

Address

Expected Install of new equipment

Product to Trade in

Manufacturer

Model #

Serial #

Year of Manufacture

Dr's Phone #

Photos

Front

Max. file size: 3 GB.

Back

Max. file size: 3 GB.

Side 1

Max. file size: 3 GB.

Side 2

Max. file size: 3 GB.

Side 3

Max. file size: 3 GB.

Serial Plate

Max. file size: 3 GB.

Accessories

Max. file size: 3 GB.

Accessories 1

Max. file size: 3 GB.

Working

Working(Required)

Comments

Name

This field is for validation purposes and should be left unchanged.