WEEE Returns Form

Waste Electrical and Electronic Equipment (WEEE) Returns

If you would like to dispose of your product(s) under the Waste Electrical and Electronic Equipment Directive, please complete the form below. A company representative will respond to your request within two business days. On behalf of Quorum Technologies Ltd and the environment we would like to thank you for the proper disposal of your Waste Electrical and Electronic Equipment products.

* Indicates required fields

*Contact name:

*Name of company, university or institute:

*Email:

*Telephone number:

*Address:
(NB: Multiple return items
will be addressed upon
form completion)

*Product description:

*Serial number:

*Product number:

Does your product(s) contain the WEEE label (crossed-out wheelie bin)? Yes No Unknown

Identify the seller from whom you purchased the product:

Specify the date of your purchase of the product:

Specify in which country you purchased your product(s):

Please provide the following details in order to properly plan for the collection of your product(s) at your facility. If the category is not applicable (N/A) to your site, please specify by typing N/A in the field provided.

*Vehicle restrictions:

*Parking restrictions:

*Equipment location within building:

*Site access security restrictions, eg special passes or clearances required:

*Opening hours:

*Earliest date of collection:

*Handling equipment (if required):

Additional packaging requirements:

Health & Safety certificate:

*WEEE expected boxes:

*WEEE expected weight (kg):

For security, please answer the following simple question before submitting your form:

If you have any questions about this form, please email sales@quorumtech.com

You're currently on:

Waste Electrical and Electronic Equipment (WEEE) Returns