Template Test DE

"*" indicates required fields

Step 1 of 4 – Country Selection

25%

Please begin your recycling journey by selecting and inputting required details below. Please ensure that you are only returning one item per collection request.

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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

Abfallart*

Lampen

Kleine IT Geräte

Monitore und Bildschirme

Kleingeräte

Großgeräte

Wärmeüberträger

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Quantity (units)

Please enter a number from 1 to 30.

Artikelmodell*

Gesamtgewicht (in kg)*

Please enter a number less than or equal to 100.

Rechnungsnummer des neuen Artikels.*

Rechnung hochladen*

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

Akzeptierte Formate: PDF, PNG, JPG, JPEG, DOCX

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Item Serial 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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Desired Date of Service

MM slash DD slash YYYY

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High Priority?

Yes

Artikel – Zusätzliche Informationen

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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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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

This field is hidden when viewing the form

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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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

This field is hidden when viewing the form

Business Type

WEEE

Batteries

This field is hidden when viewing the form

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

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

This field is hidden when viewing the form

High Priority?

Yes

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Item – Additional information

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Item 5

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Logistic Service

Delivery

Pickup

This field is hidden when viewing the form

Business Type

WEEE

Batteries

This field is hidden when viewing the form

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

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

This field is hidden when viewing the form

High Priority?

Yes

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Item – Additional information

Anweisungen

1. Rücknahmeantrag abschicken.

2. Der Kundendienst bestätigt Ihre Anfrage. Sie erhalten eine E-Mail mit Anweisungen für den Versand und einem Versandetikett.

3. Verpacken Sie das Altgerät in einem Paket.

4. Drucken Sie das per E-Mail erhaltene Versandetikett aus und kleben es auf das Paket.

5. Bringen Sie das Paket zu einem Annahmestelle oder vereinbaren Sie eine Abholung.

1. Rücknahmeantrag abschicken.

2. Der Kundendienst bestätigt Ihre Anfrage. Sie erhalten eine E-Mail mit Anweisungen für den Versand und einem Versandetikett.

3. Verpacken Sie das Altgerät in einem Paket.

4. Sie übergeben die Rücknahmeware zum vereinbarten Zeitpunkt an den Spediteur.

Kontaktinformationen

Vollständiger Name*

Kontaktperson Name*

Telefonnummer*

E-Mail-Adresse*

Die Anschrift

Straße und Hausnummer*

Stockwerk

Postleitzahl*

Stadt*

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Regierungsbezirk

Land

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Central pick-up point

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Openning Hours

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Is the waste at the ground floor?

Yes

Verfügt das Gebäude über einen Aufzug?

Yes

Zusätzliche Details oder Informationen

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Additional Details or Information2

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Additional Details or Information3

Zusammenfassung

Land: {Land:73}
Abfallart: { Abfallart:116}
Beschreibung: { Artikelmodell:124}
Gesamtgewicht: { Gesamtgewicht (in kg):117}
Vollständiger Name: { Vollständiger Name:41}
Telefonnummer: { Telefonnummer:179}
E-Mail: { E-Mail-Adresse:172}
Adresse: { Straße und Hausnummer:69},{ Stockwerk:70}, { Stadt:72}, { Postleitzahl:71}

Submission Check*

Ich habe meine Angaben auf Richtigkeit überprüft

Name

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

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