Request a Collection

Please provide as much detail as possible when completing this form. We need this to plan required transport and processing space.

Please note that fields marked * are compulsory.

* Your email address:
Company Name:
* Contact Person:
Telephone Number (land line):
Mobile/Cell Number:
* Physical Address for Collection:
* Inventory - items to be collected
NOTE: WE RECYCLE E-WASTE ONLY, not paper, plastic, glass etc
Click here for what we recycle before you submit this form
Please let us know approximately how many of each item so we can plan for space required:
Do you require a Certificate of Destruction?

Any comments or questions?
Special directions to find you?

How did you hear about Virgin Earth?


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