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Request Form

In accordance with Article 11 of Directive 2002/96/EC of the European Parliament and of the Council on waste electrical and electronic equipment (WEEE) (the “ WEEE Directive”), upon request, we will provide the information needed by reuse centers and treatment and recycling facilities in order to comply with the provisions of the WEEE Directive in the reuse, treatment or recycling of our products covered by the WEEE Directive.

First Name:
Last Name:
Company Name:
Company Address:
Authorization/Permit #:
Email Address:
Product(s) of Interest:
(ex: StreetPilot c340)

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