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Request a Collection

Please provide as much detail as possible when completing this form. We need this to plan required transport and processing space.

Please note that fields marked * are compulsory.

* Your email address:
Company Name:
* Contact Person:
Telephone Number (land line):
Mobile/Cell Number:
* Physical Address for Collection:
* Inventory - items to be collected
NOTE: WE RECYCLE E-WASTE ONLY, not paper, plastic, glass etc
.
Click here for what we recycle before you submit this form
.
Please let us know approximately how many of each item so we can plan for space required:
Do you require a Certificate of Destruction?

Any comments or questions?
Special directions to find you?

How did you hear about Virgin Earth?

 

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