Customer Returns Form

Please enter your personal data

Company name (required)

Customer number (required)

Contact (required)

Phone (required)

Email (required)

Boxes

Box 1

Box 2

Box 3

Box 4

Remarks

Pallets

Pallet 1

Pallet 2

Pallet 3

Pallet 4

Remarks

Pickup details

Preferred date of pickup (required)

(Mon-Fri, min 2 days after request)

Address (required)

Postal code (required)

City (required)

Country (required)

Pickup Remarks (Opening hours, closing day, loading dock...)

(c) Goodwill M&G bvba