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Company name
*
VAT-number
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Name contact person
*
Street + number
*
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Apartment/Suite/Unit
Postal code
*
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City/Town
*
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Country
*
Country
Belgium
Luxembourg
Netherlands
Phone number
*
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Email address
*
Delivery Instructions: Where to deliver/pick up boxes (front desk, second floor, etc.)
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Opening hours of your office?
Through which brand did you apply?
*
Please select an option
- none -
Brother
Canon
Epson
Fujifilm
HP
Konica Minolta
Kyocera
Lexmark
OKI
Printronix
Ricoh
Sharp
Toshiba
Xerox
Other
Choice
Order empty collection box(es)
Order pickup of full collection box(es)
What type of box would you like to receive?
*
Normal collection box: 60x40x60cm
Pallet box: 120x80x80cm
Number of boxes to be collected?
*
3
6
Other
How many?
*
How many boxes would you like to receive?
*
3
6
Other
How many?
*
Commnets:
What type of box do you want collected?
Normal collection box: 60x40x60cm
Pallet box: 120x80x80cm
Box is full?
Yes
No
Does it contain other items besides consumables from original manufacturers?
Yes
No
Comments:
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