E-waste Collection Form

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E-waste Collection Form

We shall get in touch with you for collection of e-waste for safe recycling.

* Indicates required question

Name *

Your answer

Name of organization

Your answer

E-mail address *

Your answer

Phone No. *

Your answer

Location *

Your answer

Type & quantity of e-waste to be collected *

Your answer

Do you need data wiping services?

Yes

No

Maybe in future

Clear selection

Is this your first time using our services? *

Yes

No

Maybe

Any questions/ comments?

Your answer

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