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REGISTRATION FORM FOR PICK UP OF USED PRINTER/COPIER/FAX/CARTRIDGE
FIRST NAME
LAST NAME
DESIGNATION
COMPANY
ADDRESS OF PICK UP LOCATION
CONTACT PERSON
CONTACT PERSON PH NO
E-MAIL ID
PRINTER/COPIER/FAX MODEL NAME
QUANTITY
WEIGHT
CARTRIDGE MAKE/TYPE
QUANTITY
WEIGHT
REMARKS
SUBMIT