Collection Details
Gwynedd & Anglesey Pilot Scheme
Email
example@example.com
Business Name
Collection Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Name
*
First Name
Last Name
Contact Phone Number
*
Additional Contact Details
First Name
Last Name
Contact Phone Number
Site Notes
Please provide site details below
Directions
Are there any access restrictions?
*
Where is the equipment located?
*
Which floor are the items located?
*
Ground floor
1st Floor
2nd Floor
Other
If not on ground floor, is there access to lift?
*
Yes
No
N/A
What are your opening hours?
*
Any time restrictions?
*
Items to be collected
Please provide a brief description of the items to be collected and the quantities - You can either complete the section below or upload your own asset list, spreadsheet etc
Example: 1 x PC - 1 x Monitor - 4 x Laptop
*
If you have an asset list or spreadsheet please upload it here
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Terms & Conditions
Service fees are quoted on the information you provide in Section 3.If the information provided under section 3 changes, North Wales Recycle IT must be notified at least 24hours before collection.Failure to notify us of changes will incur a £150 collection and administration fee.Full T&C's can be provided upon request.
Please tick box
*
Accept our T&C's
Submit
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