Solventum Recycling Program

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Step 1 of 5 – Boek uw recyclingophaling

20%

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Regel uw afvalinzameling door op de volgende pagina enkele gegevens in te vullen; dit kost slechts enkele minuten. Dien één inzamelingsaanvraag per pakket in. Elk pakket mag meerdere in aanmerking komende artikelen bevatten, mits het totale gewicht niet meer dan 30 kg bedraagt.

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Customer ID

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Customer ID

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Item 1

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Logistic Service*

Delivery

Pickup

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Business Type

WEEE

Batteries

Submission Check*

Ik bevestig dat het pakket uitsluitend bestaat uit Prevena-therapie-units, Prevena Plus-draagtassen en bijbehorende netsnoeren.

Submission Check*

Ik bevestig dat het pakket niet zwaarder is dan 30 kg.

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Waste Stream

Prevena Therapy Units

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Quantity (units) – Containers

Please enter a number from 1 to 30.

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Total weight (in kg)

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Quantity (units) – Devices

Please enter a number from 1 to 99999.

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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

200l drum

200l drum + vermiculite

10 m3 container

2 m3 container

20 m3 container

5 m3 container

600l ASP

600l ASP + vermiculite

Cardboard box

Euro Pallet

Paloxes

Paloxes + vermiculite

Vermiculite bags

None

60l drum

60l drum + vermiculite

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Do you need proof of IT asset disposal?

Yes

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Do you need packaging service?

Yes

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Invoice Upload

Max. file size: 32 MB.

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Desired Date of Service

MM slash DD slash YYYY

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High Priority?

Yes

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Item – Additional information

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Item 2

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Logistic Service

Delivery

Pickup

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Business Type

WEEE

Batteries

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Waste Stream

Alkaline Batteries

Li-ion batteries

NiCd

NiMH

E-scooter Loose parts

Full Scooter without Battery

Lamps

Large Equipments

Monitors and Screens

Small Equipments

Small IT

Temperature Exchangers

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Quantity (units)

Please enter a number from 1 to 30.

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Total weight (in kg)

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Quantity (units) – Devices

Please enter a number from 1 to 99999.

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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

200l drum

200l drum + vermiculite

10 m3 container

2 m3 container

20 m3 container

5 m3 container

600l ASP

600l ASP + vermiculite

Cardboard box

Euro Pallet

Paloxes

Paloxes + vermiculite

Vermiculite bags

None

60l drum

60l drum + vermiculite

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Do you need proof of IT asset disposal?

Yes

This field is hidden when viewing the form

Do you need packaging service?

Yes

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Invoice Upload

Max. file size: 32 MB.

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Desired Date of Service

MM slash DD slash YYYY

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High Priority?

Yes

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Item – Additional information

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Item 3

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Logistic Service

Delivery

Pickup

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Business Type

WEEE

Batteries

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Waste Stream

Alkaline Batteries

Li-ion batteries

NiCd

NiMH

E-scooter Loose parts

Full Scooter without Battery

Lamps

Large Equipments

Monitors and Screens

Small Equipments

Small IT

Temperature Exchangers

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Quantity (units)

Please enter a number from 1 to 30.

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Total weight (in kg)

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Quantity (units) – Devices

Please enter a number from 1 to 99999.

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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

200l drum

200l drum + vermiculite

10 m3 container

2 m3 container

20 m3 container

5 m3 container

600l ASP

600l ASP + vermiculite

Cardboard box

Euro Pallet

Paloxes

Paloxes + vermiculite

Vermiculite bags

None

60l drum

60l drum + vermiculite

This field is hidden when viewing the form

Do you need proof of IT asset disposal?

Yes

This field is hidden when viewing the form

Do you need packaging service?

Yes

This field is hidden when viewing the form

Invoice Upload

Max. file size: 32 MB.

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Desired Date of Service

MM slash DD slash YYYY

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High Priority?

Yes

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Item – Additional information

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Item 4

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Logistic Service

Delivery

Pickup

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Business Type

WEEE

Batteries

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Waste Stream

Alkaline Batteries

Li-ion batteries

NiCd

NiMH

E-scooter Loose parts

Full Scooter without Battery

Lamps

Large Equipments

Monitors and Screens

Small Equipments

Small IT

Temperature Exchangers

This field is hidden when viewing the form

Quantity (units)

Please enter a number from 1 to 30.

This field is hidden when viewing the form

Total weight (in kg)

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Quantity (units) – Devices

Please enter a number from 1 to 99999.

This field is hidden when viewing the form

Item model

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Item Serial Number

This field is hidden when viewing the form

Purchase ID Number

This field is hidden when viewing the form

Container Model

200l drum

200l drum + vermiculite

10 m3 container

2 m3 container

20 m3 container

5 m3 container

600l ASP

600l ASP + vermiculite

Cardboard box

Euro Pallet

Paloxes

Paloxes + vermiculite

Vermiculite bags

None

60l drum

60l drum + vermiculite

This field is hidden when viewing the form

Do you need proof of IT asset disposal?

Yes

This field is hidden when viewing the form

Do you need packaging service?

Yes

This field is hidden when viewing the form

Invoice Upload

Max. file size: 32 MB.

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Desired Date of Service

MM slash DD slash YYYY

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High Priority?

Yes

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Item – Additional information

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Item 5

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Logistic Service

Delivery

Pickup

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Business Type

WEEE

Batteries

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Waste Stream

Alkaline Batteries

Li-ion batteries

NiCd

NiMH

E-scooter Loose parts

Full Scooter without Battery

Lamps

Large Equipments

Monitors and Screens

Small Equipments

Small IT

Temperature Exchangers

This field is hidden when viewing the form

Quantity (units)

Please enter a number from 1 to 30.

This field is hidden when viewing the form

Total weight (in kg)

This field is hidden when viewing the form

Quantity (units) – Devices

Please enter a number from 1 to 99999.

This field is hidden when viewing the form

Item model

This field is hidden when viewing the form

Item Serial Number

This field is hidden when viewing the form

Purchase ID Number

This field is hidden when viewing the form

Container Model

200l drum

200l drum + vermiculite

10 m3 container

2 m3 container

20 m3 container

5 m3 container

600l ASP

600l ASP + vermiculite

Cardboard box

Euro Pallet

Paloxes

Paloxes + vermiculite

Vermiculite bags

None

60l drum

60l drum + vermiculite

This field is hidden when viewing the form

Do you need proof of IT asset disposal?

Yes

This field is hidden when viewing the form

Do you need packaging service?

Yes

This field is hidden when viewing the form

Invoice Upload

Max. file size: 32 MB.

This field is hidden when viewing the form

Desired Date of Service

MM slash DD slash YYYY

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High Priority?

Yes

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Item – Additional information

Instructies

1. Dien uw aanvraag in.

2. Uw verzoek wordt gevalideerd door onze klantenservice. U ontvangt per e-mail de volledige informatie over het retourproces.

3. Maak het pakket klaar.

4. Druk het voorafbetaalde etiket dat u per e-mail hebt ontvangen af en plak het op het pakket.

5. Breng je pakket naar een van de inleverpunten of maak een afspraak voor een ophaling.

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.

Gebruiksvoorwaarden*

Ik heb de gebruiksvoorwaarden gelezen.

Ik heb het Privacy Policy gelezen.

Klantgegevens

Naam van het ziekenhuis*

Naam van de contactpersoon*

Telefoonnummer*

Telefoonnummer van de contactpersoon

E-mail*

E-mailadres van de contactpersoon

Adres

Straatadres*

Naam en adres van het ziekenhuis

Vloer

Postcode*

Stad*

Deelstate

Land*

Naam van de afdeling

Openingstijden

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Type of Request

H2C Customer

End Customer

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Is the waste at the ground floor?

Yes

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Does the building has a lift?

Yes

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

Yes

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Additional Details or Information1

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Additional Details or Information2

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Additional Details or Information3

Beoordeling indienen

Land: {Country:73}
Beschrijving: {Item model:124} Totaalgewicht: {Total weight (in kg):117}
Naam ziekenhuis: {Full Name:41}
Naam van de contactpersoon: {Contact person name:42}
Telefoonnummer: {Phone number:179}
E-mail: {Email:172}
Addres: {Street Address:69}, {Floor:70}, {City:72}, {Zip / Postal Code:71}

Controle van uw aanvraag*

Ik bevestig dat ik de bovenstaande informatie heb doorgenomen en dat deze juist en volledig is.

Controle van uw aanvraag*

Ik bevestig dat het pakket geen besmette materialen bevat.

Klik op de knop ‘Verzenden’ om uw bestelling af te ronden.
U ontvangt binnen 48 uur een e-mail of worden door ons benaderd.

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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

Verzenden