AU-PAL-EN-CollectCHEP-Form

Title

First Name

Last Name *

Email Address *

Location Name (in case the location has a name, e.g. ‘Supermarket’ or ‘construction site’)

Address *

City *

Zip Code *

Country *

Phone Number * (in case we need to contact you to coordinate the pick up quickly)

CHEP Account Number (If available)

Amount *

Type of equipment *

Preferred time and day for collection

Is a forklift available?

When is the forklift driver available (time/day)?

Additional Information Please provide any special instructions for collections or information that may be helpful for us to bring them home. Thank you!

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