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Business Name

Collection Address

COLLECTION POSTCODE

Number of Batteries

Photos of all batteries (including labels)
*If a battery label is not present, we will require an MSDS

Files

Condition of Batteries

Undamaged (QTY)

Damaged (QTY)

Description

State of charge

By completing this form, I can confirm the information provided is true and accurate to the best of my knowledge.

If you need clarification on completing this form, please consult your contact.