- -=[ CartCollect Collection Form ]=-

Please fill in your details below to send us a request to have your empty cartridges collected by our couriers. Once you have submitted your details, please wait for confirmation via email.

Please fill in all details as accurately as possible.
Company Name:
Account No:
ABN Number:
Collection Address:
Postal Address:
Location of Cartridges:
Contact Name:
Contact Phone:
Contact Fax:
Contact Email:
Box size:
Number of cartridges to be collected:
Number of Boxes to be Collected:
Number of Replacement Boxes Required:
Reward Type
Donation to Landcare Australia:
Donation to Keep Australia Beautiful Victoria:
EFT (Electronic Fund Transfer)		(The more Secure and efficient method of transfering funds)
Contract Agreement
Note: - Free Collection only Applies to 5 or More Cartridges within Australia - All Boxes must be labeled with Sender's Details - All Cartridges are subject to evaluation. - Payment process takes 15-20 Working Days - A $1 levy will be charged/offset for every miscellaneous cartridge (not listed in rewards tab) This is to cover freight and recycling costs as these can not be re-used in the remanufacturing process. * Submission of this form authorizes CartCollect to raise a Recipient Created Tax Invoice on behalf of the organization whose details appear.

Security Statement:
This form is delivered via email to info@cartcollect.com.au. All details collected are recorded and processed by CartCollect alone, and are not passed on in any form to a third party.

If you have questions about this statement, the practices of this site, your dealings with CartCollect, or require further information please contact us.