Return request form

Equipment Type *

Brand Name *

Quantity

Equipment Source

Household

Weight
incl. packaging (kg) *

Please enter your shipping and contact information in the form below (fields marked with (*) are mandatory fields).

Surname *

First name *

Street *

House number *

Phone *

Postcode *

Suburb *

Town/City *

State/Province *

Country *

E-Mail *

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I have read the “Data Privacy” statement and accept these terms.