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This application form is for general information and allows Lasertech to collect the relevant information required by the Environment Agency for the transfer of waste.
Required information.
PART ONE: Participant Information
Contact Name:
Company:
Address:
Post Code:
Telephone:
Fax:
Email:
Type of organisation:
Business/Industry
School/Eduction
Government/Institution
Group/Individual
What would you like to do with the proceeds of your returned cartridges:
100% Credit on your Account
Donate 20% to Charity, 80% Credit on Account
Would you like Lasertech to provide a Free collection bin:
Yes
No
PART TWO: Current Printer Cartridge Usage
Number of Cartidges used per week:
Toner Cartridges
Ink Cartridges
Printer, Fax and Copier equipment in use:
Machine
Qty
Machine
Qty
Machine
Qty
Machine
Qty
Machine
Qty
Annual spend on Printer Supplies:
Toners, Ink Cartridges, Drums etc
Accessories
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