WEEE Booking Form

Welcome to our booking page. Please complete all sections to expedite collection

Company Name *

Contact Name *

Company Address *

Email *

Phone *

Purchase order number *

Accounts Contact Name *

Accounts Contact Phone *

Accounts Contact Email

Preferred Collection Date *

Preferred Collection Time *

Are there any parking or height restrictions

Is the collection address as above? If not please indicate collection address

Please list the equipment you have for collection below:
Equipment must be ready to go and at an easily accessible ground floor location

Goods for Recycling *

Confirm acceptance of credit terms *

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