Takeback Booking Form For Wet Pallets (Customer Logs)Takeback Booking Form For Wet Pallets (Customer Logs)"*" indicates required fields1Company Details2Content Details3Personal detailsCompany*Industry*Flooring manufacturersMain contractors/ Fit-outFlooring contractorsStrip-out/ DemolitionJob reference number*First three letters of company, followed by a unique four digit numberRequested date of delivery* DD slash MM slash YYYY This is a request only, confirmation will be sent via email Last delivery 3:45pmPurchase Order Number (optional)Company Address* Street Address Address Line 2 City ZIP / Postal Code Number of pallets for deliveryConfirmation* To the best of our knowledge, the waste does not contain Persistent Organic Pollutants (POPs) or Does not display hazardous properties To the best of our knowledge, the waste carpet tiles do not contain POPs above the limits in the concentration limit table contained within the guidance No sub-floor attached to carpet tiles The carpet tiles will be stacked 4 piles to a palletSelect AllPhotographs of consignment (optional) Drop files here or Select filesMax. file size: 128 MB, Max. files: 4.Please share any photographs of consignment pre-deliveryCommentsDeclaration* I hereby declare that the information provided is true and correct, to the best of my knowledge and beliefDeclaration* I hereby agree to be legally bound by the Textile Terms & ConditionsName* First Name Last Name Date* DD slash MM slash YYYY Email* CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.