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WEEE Directive Compliance Online Form

Recycling Information: Ireland

Thank you for choosing to recycle your product. Please take a little time to fill in this form. You will be directed to a recycling label (PDF) when you submit the form. Please print a copy of this form to travel with the WEEE.

Please provide a few details about your company and the reasons for recycling the product(s).

Please check the following form fields

  •  

Required field

Your Details:Please enter your first name.
Please enter your last name.
Please enter your Company Name.
Please enter a valid email address.
Contact Number: Please enter a valid telephone number.
Product Details:

Please provide model number(s) of the new KCI product(s) you have purchased after 13 August 2005

Please enter a product number.
What products are being sent for recycling? If required more than one option can be selected.
Please select at least one option.


Please enter the product name.
Why are the products being recycled?
Please select a reason.



How did the product(s) perform during their operational life?
Please select a reason.



How satisfied were you with the service provided by your reseller for the operational life of the product(s)?
Please select a reason.



About the Reseller:Please enter your Reseller Name.
Please enter your Town/City.
Security Information:Please read the terms & conditions before submitting.

Please agree to the Terms & Conditions.
* I have read and accept the Terms of Use.
Please accept the privacy agreement.
* I have read the KCI Privacy Statement.

 

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