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: