Request for an offer regarding the transportation and recycling of photovoltaic modules Free Advise and Consulting +49 40 750687 – firstname.lastname@example.org You can reach us from Monday to Thursday between 8 am and 6 pm and on Friday between 8 am and 5 pm. Just give us a call! 1. Contact data Surname, First name Company (if commercial) Collection address* This field must be filled! ZIP Code, city, country* This field must be filled! Phone number* This field must be filled! E-Mail* This is not a valid email address! 2. Information regarding quantity and means of transportation (accepted means of transportation are euro-pallets or disposable pallets) Disposable pallet Euro-pallet Number of pallets* This field must be filled! Other Storage 3. Dimensions per pallet / Packing piece Width* This field must be filled! Length* This field must be filled! Height* This field must be filled! 4. Weight of the photovoltaic modules to be disposed of per pallet described in the data sheet "Technical Data" of the supplier* This field must be filled! Quantity kgt This field must be filled! 5. Loading Device Is a loading device (e.g. fork lift truck) available on site?* Yes No This field must be filled!6. Type of solar cells description in the data sheet "Technical Data" of the supplier*Crystalline silicon thin-film cells (CSG)Amorphous/micro-amorphous silicon cells (a-SI)Cells made from cadmium telluride (CdTe)OthersThis field must be filled! Others: 7. General condition of the photovoltaic modules Damaged: Yes No If yes, which damage?: With frame: Yes No 8. Other indications Contact person at collection address: Phone number: E-Mail: Notice: 9. SendPlease confirm the reCAPTCHA! I accept the Data Protection Declaration. I consent to my details and data being collected and stored electronically in order to respond to my enquiry. You can revoke your consent for the future at any time by emailing email@example.com.* Don't fill this field!