Please complete this form.

P.O.C (Proof of Concept) equipment will not be sent out without this form, by completing this form you are agreeing to purchase the equipment described therein if it demonstrates the agreed P.O.C features. For the avoidance of doubt the equipment cannot be returned if it performs as per this agreement. The P.O.C period is 14 days. If you have any difficulty with this form please call 01782 665 500


NOTE: Filling in this form will not automatically send out a unit. Each application will be checked to ensure that you receive the most suitable product

What product do you require? e.g. SonicWALL TZ-150 (01-ssc-5811)

Invalid Input
What do you need it to do? Please list required features

Invalid Input
End User Details

Invalid Input
If all the acceptance criteria are met will the unit be purchased? (*)
YesNo
Invalid Input
P.O Number

Invalid Input
Delivery Instructions

Invalid Input

By submitting this form you are agreeing to our terms and conditions and confirming that you are authorised by your company to do so.

Name (*)

Please Enter Your Name
Email (*)

Please enter a valid email address
Company (*)

Please enter your company
Position (*)

Please Enter Your Company Position
Agree to Terms (*)
YESNO
You Must Agree to the Terms and Conditions
Enter the code shown


Invalid Input

Terms and conditions: