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Recycling from Canon Form
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Recycling from Canon Form
This Booking form is for Canon sites and our Canon partners only
"
*
" indicates required fields
Name
This field is for validation purposes and should be left unchanged.
Booking Type
*
Canon Branch
Canon Business Partners
Third Party Site
Other
Contact Details
Booking form completed by
*
Email
*
Booking form completed by
*
Phone
*
Site Address
*
Hours of Operation
*
Pick up Instructions
Priority
*
Non-Urgent
Urgent
Preferred Pick-up Date
*
DD slash MM slash YYYY
Preferred Pick-up Time
*
Hours
:
Minutes
AM
PM
AM/PM
Is everything ready for collection now? If no, when will it be ready?
*
Pick up location (e.g. reception, loading dock, etc.)
*
Are 'packaging services' required at pickup? i.e. pallet wrapping
*
Yes
No
Are 'asset serial capture' services required?
*
Yes
No
Will the items need 'unboxing' prior to recycling?
*
Yes
No
Are 'asset counting and categorising' services required?
*
Yes
No
Are any of the items 'Dangerous Goods'? If so provide class and details.
*
Yes
No
DG class details (if applicable)
*
Are any of the items classified as 'Controlled Waste'? If so provide waste code and details.
*
Yes
No
Waste code details (if applicable) *
*
Canon Branch
Business Unit Groups
Select Business Unit
*
Please choose an option *
CCI
CBS
Mixed
CPPA
Converga
SUNSTUDIOS
Harbour IT
IT
Facilities
CFA
CNZ
Other (please specify)
Specify BU (if Other is selected)
Products
Select Product
*
Please choose an option *
Cameras
Printers/scanners
MFDs
LFDs
Computers
Spare parts
Mixed e-waste
Pallets/bins/cartons/other (please specify)
Specify Product (if Other is selected)
Units
*
Length (cm)
*
Width (cm)
*
Height (cm)
*
Weight (kg)
*
Add Another Product
Remove Product
Add New Business Unit
Remove Business Unit
Canon Business Partners / Third Party Site / Other
Products for Collection
Select Product
*
Please choose an option *
Cameras
Printers/scanners
MFDs
LFDs
Computers
Spare parts
Mixed e-waste
Pallets/bins/cartons/other (please specify)
Specify Product (if Other is selected)
Units
*
Length (cm)
*
Width (cm)
*
Height (cm)
*
Weight (kg)
*
Add Another Product
Remove Product
Site Information
Is the freight palletised?
*
Yes
No (if some units are palletised and some on wheels, select No and add information in Special Instructions
Is there a forklift available?
*
Yes
No
Do you require assist with loading? (if Yes please specify how many additional workers we need to send with the driver in Special Instructions field)
*
Yes
No
Special Instructions or Feedback
*
Drag & Drop Files Here
Drop files here or
Select files
Max. file size: 50 MB, Max. files: 5.