Take Back and Recycling Request

* Indicates required information

Company

Address

Postcode

Town/City

Country

(Please contact us in case your country is not listed.)

Business hours

VAT ID

Contact Person

E-mail

Phone Number

Agilent Order number

Items to be returned for recycling

Product Category

Brand

Model

Weight per product (kg)

Quantity

WEEE Label

Length (cm)

Width (cm)

Height (cm)

I need a Certificate of Destruction (COD)

Herewith I accept the Terms and Conditions*