Disposal request

If you have any questions, please contact us on 05177 8585 8 or by e-mail at service@avista-oil.de.

Existing Customer*

Yes

Company:

Customer Number

First name:*

Surname:*

Street + No.:*

Post Code:*

City*

Email:*

Phone:*

Pick-up address:

Achievable with a hose length of 20m*

Product 1

Waste code number

Amount in liters

Product 2

Waste code number

Amount in liters

Produkt 3

Waste code number

Amount in liters

Product 4

Waste code number

Amount in liters

Product 5

Waste code number

Amount in liters

Absenden

Remarks

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Terms and Conditions*

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