Power Tee Removal Agreement

• Conducted on

  Date

• Prepared by

• Location
  Address

• Client / Site

• Site Contact Name

• Site Contact Phone Number

• Site Contact Mobile Number

• Site Contact email

Is Wifi available for use on site?

• Yes

• Wifi Network

• Wifi Password

• No

Proposed Removal Date

• Select date

  Date

Power Tee Removal Details

• Number of Power Tees Removing

• Bays Removing From

• Additional Information

• Images

  Media

Authorised

• Add signature

  Sign

• Position

• Select date

  Date