Xerox – EnviroServe Toner and Cartridge Collection Program

Registration Form

Please fill in as many fields as possible in the form below to facilitate delivery of the recycling boxes to your premises.

Participant Information
Company Name:	Initial:
Telephone:	Fax Number:
Contact Person: Direct Line:	Designation: Email:
Number of Voucher Booklets: (max 5) (Payment voucher scheme for waste collection)	Find our more >
Location for Delivery & Collection
Emirate: Street: Landmark:	Area: Bldg/Tower: + more locations- less locations

Emirate: Street: Landmark:	Area: Bldg/Tower: Number of Boxes: (max 5)

This form notifies the Xerox Team to deliver the required number of boxes to the location stated above. There will be no confirmation needed after you hit Submit Form
By submitting this form you are agreeing to the terms & conditions of participating in this programme.

Terms & Conditions for Campaign Participation

1. The Participating Organization will place the provided campaign-branded collection box within their indoor premises. The location has to be convenient, practical and visible so that the box has maximum exposure to company’s employees and/or visitors.
2. The Participating Organization will pay AED 136 per collection per full box. This is flat rate from anywhere within the UAE and it covers the operational cost of recovering the waste as well as transportation.
3. The Participating Organization will keep Enviroserve contact information on record at all times and alert our team whenever the provided campaign-branded collection box is full.
4. Payment will be made using a voucher scheme. The Participating Organization must purchase voucher booklets which contain 20 vouchers each. Each voucher is worth the value of waste collection. Booklets will be provided at the time of installation of collection box. Xerox Emirates will raise an invoice for the purchase value of the voucher booklets which will have to be paid upon delivery of these booklets. Xerox Emirates cannot replace any voucher booklets that are lost or stolen and are non-refundable. To place your next order for additional voucher booklets, please email Enviroserve info@enviroserve.ae - 04 885 2434
5. Each voucher booklet contains three copies of each voucher. Upon every collection, participating organization will fill up their details and hand the pink and green copy to EnviroServe at the time of collection which will be retained as a business record. One copy will remain with the customer as proof of collection.
6. The Participating Organization will arrange for gate passes and security clearance if and when needed for Enviroserve personnel for box delivery and waste collection within the business premises.
7. The Participating Organization will be responsible for ensuring no damage is caused to the provided box. There will be additional cost for replacing damaged boxes.