image test

URL

This field is for validation purposes and should be left unchanged.

To place the collection and recycling request, please enter the information below. If you have more than one type of waste to be collected, you will be able to enter this information in the next steps.

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Customer ID

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Customer ID

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Waste stream 1

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Logistic Service

Delivery

Pickup

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Business Type

WEEE

Batteries

Waste Stream*

Multiple choice question. If you have more waste, you will be able to report it in the next steps.

Do you need packaging service?*

Yes

No

The waste must be packed on pallets or in boxes/crates. If you do not have the packaging to prepare the waste, please mark “no”.

Number of pallets*

Please enter a number from 0 to 30.

If packaging service is required, please enter 0.

Total weight (in kg)*

Number of units*

Please enter a number from 1 to 1000.

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Item model

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Item Serial Number

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Purchase ID Number

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Container Model

Do you need Serial Number Tracking service?*

Yes

No

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High Priority?

Yes

No

Additional information (please provide any additional info on this waste stream that you find relevant)

Do you have more waste to be collected?*

Yes

No

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Instructions

1. Submit your request.

2. Request is validated by customer service. You will receive an e-mail with complete takeback.

3. Prepare the package.

4. Print and attach on the package the prepaid label received by email.

5. Bring your package to one of the drop-off points or arrange a pick-up.

1. Submit your request.

2. Request is validated by customer service. You will receive an e-mail with complete takeback.

3. Prepare the package.

4. Deliver the package to carrier that will show-up at the agreed day and time.

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Terms of Use

I have read the Terms of Use.

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Privacy Policy

I have read the Privacy Policy.

Contact Details

Ownership of the assets*

Kyndryl Internal (Kyndryl owned assets)

B2B Kyndryl customer (Customer owned assets)

Company Name*

Contact Person Name*

Phone number*

This contact information will be used to schedule the collection.

Email*

This contact information will be used to schedule the collection.

Collection Address

Street*

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Floor

Zip / Postal Code*

City*

Province

Country*

eOrder/SNOW*

Openning Hours

Desired Date of Collection

Will the waste be prepared in the loading area at the time of the collection?*

Yes

No

Is the collection site located farther than 50km from CDC?

Yes

No

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Does the building has a lift?

Yes

No

Scrap Loading List and Waste Pictures if available*

Drop files here or

Accepted file types: pdf, png, jpg, jpeg, docx, xlsx, Max. file size: 32 MB.

Additional information (please provide any additional info that you find important for the collection, for example preferred part of day for collection – morning or afternoon, site access infromation, etc.)

Additional Information cont.

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Additional Information

Review Submission

Country: {Country:73}

Waste Stream: {Waste Stream:116}
Total Weight: {Total weight (in kg):117}
Serial Number Tracking: {:193}
Packaging Service: {:194}

The waste is located in the loading area: {:208}
Preferred Collection Date: {Desired Date of Service:173}
Company Name: {Full Name:41}
Contact Person Name: {Contact person name:42}
Phone Number: {Phone number:179}
Email: {Email:172}
Address: {Street Address:69}, {Floor:70}, {City:72}, {Zip / Postal Code:71}

Country: {Country:73}

Waste Stream 1: {Waste Stream:116}
Total Weight 1: {Total weight (in kg):117}
Serial Number Tracking 1: {:193}
Packaging Service 1: {:194}

Waste Stream 2: {Waste Stream:121}
Total Weight 2: {Total weight (in kg):123}
Serial Number Tracking 2: {:196}
Packaging Service 2: {:200}

The waste is located in the loading area: {:208}
Preferred Collection Date: {Desired Date of Service:173}
Company Name: {Full Name:41}
Contact Person Name: {Contact person name:42}
Phone Number: {Phone number:179}
Email: {Email:172}
Address: {Street Address:69}, {Floor:70}, {City:72}, {Zip / Postal Code:71}

Country: {Country:73}

Waste Stream 1: {Waste Stream:116}
Total Weight 1: {Total weight (in kg):117}
Serial Number Tracking 1: {:193}
Packaging Service 1: {:194}

Waste Stream 2: {Waste Stream:121}
Total Weight 2: {Total weight (in kg):123}
Serial Number Tracking 2: {:196}
Packaging Service 2: {:200}

Waste Stream 3: {Waste Stream:133}
Total Weight 3: {Total weight (in kg):135}
Serial Number Tracking 3: {:197}
Packaging Service 3: {:201}

The waste is located in the loading area: {:208}
Preferred Collection Date: {Desired Date of Service:173}
Company Name: {Full Name:41}
Contact Person Name: {Contact person name:42}
Phone Number: {Phone number:179}
Email: {Email:172}
Address: {Street Address:69}, {Floor:70}, {City:72}, {Zip / Postal Code:71}

Country: {Country:73}

Waste Stream 1: {Waste Stream:116}
Total Weight 1: {Total weight (in kg):117}
Serial Number Tracking 1: {:193}
Packaging Service 1: {:194}

Waste Stream 2: {Waste Stream:121}
Total Weight 2: {Total weight (in kg):123}
Serial Number Tracking 2: {:196}
Packaging Service 2: {:200}

Waste Stream 3: {Waste Stream:133}
Total Weight 3: {Total weight (in kg):135}
Serial Number Tracking 3: {:197}
Packaging Service 3: {:201}

Waste Stream 4: {Waste Stream:144}
Total Weight 4: {Total weight (in kg):146}
Serial Number Tracking 4: {:198}
Packaging Service 4: {:202}

The waste is located in the loading area: {:208}
Preferred Collection Date: {Desired Date of Service:173}
Company Name: {Full Name:41}
Contact Person Name: {Contact person name:42}
Phone Number: {Phone number:179}
Email: {Email:172}
Address: {Street Address:69}, {Floor:70}, {City:72}, {Zip / Postal Code:71}

Country: {Country:73}

Waste Stream 1: {Waste Stream:116}
Total Weight 1: {Total weight (in kg):117}
Serial Number Tracking 1: {:193}
Packaging Service 1: {:194}

Waste Stream 2: {Waste Stream:121}
Total Weight 2: {Total weight (in kg):123}
Serial Number Tracking 2: {:196}
Packaging Service 2: {:200}

Waste Stream 3: {Waste Stream:133}
Total Weight 3: {Total weight (in kg):135}
Serial Number Tracking 3: {:197}
Packaging Service 3: {:201}

Waste Stream 4: {Waste Stream:144}
Total Weight 4: {Total weight (in kg):146}
Serial Number Tracking 4: {:198}
Packaging Service 4: {:202}

Waste Stream 5: {Waste Stream:154}
Total Weight 5: {Total weight (in kg):156}
Serial Number Tracking 5: {:199}
Packaging Service 5: {:203}

The waste is located in the loading area: {:208}
Preferred Collection Date: {Desired Date of Service:173}
Company Name: {Full Name:41}
Contact Person Name: {Contact person name:42}
Phone Number: {Phone number:179}
Email: {Email:172}
Address: {Street Address:69}, {Floor:70}, {City:72}, {Zip / Postal Code:71}

Submission Check*

I have double checked my entries for correctness

Untitled

Choice number 1 does not have an image

First Choice

Choice number 2 does not have an image

Second Choice

Choice number 3 does not have an image

Third Choice

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Source

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Referral Parameters

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Referrer

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utm_id

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utm_source

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utm_medium

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utm_campaign

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utm_term

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utm_content