4-8 IV Demo Crate #1 – Green Tag / Red Tag - Hydra-Stop

4-8 IV Demo Crate #1 - Green Tag / Red Tag

Please fill out this form to let us know the state of the 4-8 IV Demo Crate #1. This information is vital to ensure there are no issues with the demo crate for the next demonstration. Click here for a complete list of what is included in the crate.

1. Rep's name

First Name

Last Name

2. Are any of the items under "Install Equipment" damaged or missing?

No / Green Tag

Yes / Red Tag

If "Yes / Red Tag," please explain why.

3. Are any of the items under "Supplies" damaged or missing?

No / Green Tag

Yes / Red Tag

If "Yes / Red Tag," please explain why.

4. Are any of the items under "Tools" damaged or missing?

No / Green Tag

Yes / Red Tag

If "Yes / Red Tag," please explain why.

5. Is there anything not mentioned above that we need to know about this demo crate?

Yes

If "Yes," please explain why.

6. Where is the demo crate coming from? (Location & Customer)*

Location

Customer

7. Who is the shipping contact at the trained customer location? (In case there is an issue.)

Contact Name

Contact Email

Contact Telephone

8. The standard pick-up window is from 9:00 AM to 3:30 PM. Please give the correct timeframe if the pick-up time at the customer's location differs.

9. I confirm that I have zip-tied the following tag to the outside of the crate:

Green Tag

Red Tag