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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