Polycom Takeback and Recycle Program

CUSTOMER RECYCLING REQUEST

Please complete this form with details of the “end of life” Polycom products that you wish to have recycled. We will assess the list of products and locate the most suitable recycling facility. In accordance with Polycom’s Waste Electronics Policy and our legal obligations, recycling costs are free of charge, but a collection charge may apply.

* required field


 

 

 

 

 



  Distributor     Customer







Item Number

Product/Model

Serial Number

Approximate
package size
L x W x H

Approximate
package weight (kg)

1

2

3

4

5

6

7

8

9

10

     

Total