Customer Details:
Company Name:
Contact Person:
Phone No:
Fax No:
Email:
Address Details:
Collection Address:
State:		p/code:
Open / Close Time: (eg: 9am-5pm)
To Be Collected
No. Of Cartridges:
No. Of Boxes:
Box Dimmensions:		cm X cm X cm
Box Dimmensions (2nd Box):		cm X cm X cm
Cartridges to Be Collected:		(eg: HP C7115A ) PLEASE NOTE: If individual cartridge codes are not listed, then no pickup can be processed.
Are Cartridges Ready For Collection?
If No. Future Date:

Please Note:

- All cartridges are subject to evaluation,
- 10-15 business days for credit to be processed.
- All Boxes must be labeled with senders details
- Minimum of 6 cartridges strapped / taped together.
- Credit at recipiants discretion
- Pickup does not automatically qualify for credit