Lot Request Form
To arrange a collection of assets from your site please complete the form below with as much detail as possible.


Please ensure you have read and understood the Greenbox Asset Management Agreement. http://www.greenbox.com.au/ama

Unless specifically stated Greenbox will not check for the presence of client data, configuration information or any identification markings on items provided by the Customer. Greenbox will therefore not provide data security and sanitisation services unless specifically agreed to. By agreeing for Greenbox to collect or receive any items, Customer acknowledges that Greenbox does not accept any responsibility for Customers data unless specifically contracted to provide data security/sanitisation services.

If an asset is locked then we will default to the Destruction process.

Our minimum collection quantity is 50 items except by prior arrangement.

Email address *
Your Name *
Please provide your name as the person filling out the following form
Your answer
Account Name *
Your answer
Opportunity ID
If you have been advised your Opportunity ID by your Account Manager, please enter it here - Format (GBO-xxxx-xxxx) Otherwise please proceed to the next question
Your answer
First Name *
Your answer
Surname *
Your answer
Email Address for Confirmation *
Your answer
Requested date of Collection
This collection is unscheduled until confirmed by the Greenbox Logistics Manager
MM
/
DD
/
YYYY
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