Pick-up of chemical waste

Download the form and fill in as precisely as possible. Attach the form with your order below.

Packaging by Sysav requested (Required) *

Yes

Department (required) *

Division/equiv. (required) *

Address (required) *

City (required) *

Entrance number

Building (required) *

Floor (required) *

Room number (required) *

Name (required) *

E-mail (required) *

Phone number (required) If possible, enter a phone number available during working hours *

Attach your completed form *

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