Collection Address - This is the address where items are stored ready for collection
 
    Postcode Account Number
         
    Company Name Address 
   
  (Town)
    Contact Details  (County)
     Title          Forename(s)                  Surname                   Tel Email Address
       
 
Invoice Address- if this address is the same as above, tick 'Invoice Address' in the above section
 
    Postcode All Obligated items will be collected free and
you will not be invoiced
   
Obligated items are those marked with a
crossed out wheelie bin or which have been
replaced by a new item
    Address Detail
   
   
    (Town)
    (County)
 

Regulatory Information
   
      Unsure? Click here for more information

Industry Information
    Industry Type
   

Items Quantities & Weights - The following collections can be made free of charge
1) Obligated products 
2) WEEE obligated to other producers if over 300kg.

To take advantage of this we require the following detailed information;

In column 'A' please enter the number & approximate weight of items marked with a wheelie bin.
In column 'B' please enter the number & approximate weight of items which have been replaced by a new item.
In column 'C' please enter the approximate weight of the replacement items for those in column 'B'

At the bottom of this section click the box marked 'Declare items...' and list each item in the new popup page.
A) Originally placed on market
after 15th august 2005 		B) Originally placed on market
before 15th august 2005 		C) Replacement
Items
Waste Category No. of
Items		 Estimated Weight (kg) No. of Items Estimated Weight (kg) Est. Weight
Replaced Items		 Charges (£)
Large Household appliances    
Small Household appliances
IT & Telecommunications
equipment
Consumer equipment
Lighting equipment
Electrical & Electronic Tools
Toys, Leisure and sports
    equipment
Medical devices
Monitoring and control
    instruments
Automatic dispensers
Display equipment
Refrigeration equipment
Gas discharge lamps
Sub Totals

**Please note that where you unable to provide the information requested then the item(s) cannot be
considered as obligated and you will then be responsible for the charges specified**
Declare items 'Obligated' Declare items 'Replacement'