Instructions:
1.   Print this form from the Web.
2.  Fill in this form indicating the equipment to be quoted by Novus for Buy Back.
3.  FAX completed form to number below:
  Barbara Birdwell
PHONE (615) 468-1151
FAX (615) 468-1150
193 - G Polk Ave
Nashville, TN 37210

Equipment Owner Information Contact Name:
Company Name: Telephone Number:
E-mail Address: Location of Equipment:
Company Address:  
  Condition of Equipment:
FAX Number: When Available:
Type and Description of Equipment Non-Nortel Part # NT Part # Qty.
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Notes: