New Partner Registration

This form is intended for the registration of non-contractual partners. Clients already registered are kindly requested to log in to ISA.

After submitting the registration form, the relevant regional manager will contact you and offer a suitable form of cooperation. You can also find the regional manager contacts here.

Company Details

Company ID (IČ)

VAT ID (DIČ)

Business Name

Company Address

Street and No.

Postal Code

City

Region

Select a regionHlavní město PrahaStředočeský krajJihočeský krajPlzeňský krajKarlovarský krajÚstecký krajLiberecký krajKrálovéhradecký krajPardubický krajKraj VysočinaJihomoravský krajZlínský krajOlomoucký krajMoravskoslezský kraj

Correspondence Address
(if different from company address)

Street and No.

Postal Code

City

Contact Person (Collection Request)

First Name

Last Name

Phone Number

Email Address

Location of the Discarded Electrical Equipment

Street and No.

Postal Code

City

Detailed Description of the Location

Opening Hours

Public Collection Point

I want to become a public collection point

Processing of Personal Data

I hereby consent to the processing of my personal data (name, surname, email address, phone number, etc.) to the extent and for the purposes specified in the Privacy Policy. *

Děkujeme za odeslání, brzo se vám ozveme zpět.

Něco se pokazilo, zkuste to prosím znovu a zkontrolujte všechna pole.