1. Your Personal Details:

  Title:
  First Name (required):
  Last Name (required):
  Email Address (required):
   
  Phone Number (required):
  Position in company (required):

2. Company Details:

  Company Name (required):
  Address Line 1 (required):
  Address Line 2:
  Address Line 3:
  Town:
  County:
  Postcode (required):
  Country:
  Fax Number:
  Number of Employees (required):
 
  Annual company turnover (£)[privacy]:
  Annual site turnover (£)[privacy]:
  Main Activites:
  Main business sector:
  Business sub sector:

3. Raw materials and activities (annual bills and amounts):
  Annual bill (£) Amount
Water (M3):
Gas:
Electricity (KWh):
Oil:
Other Fuel:

Please try to complete as many of the following sections as possible - remember you can save this form an return to it at any time. Annual figures may be estimated based on multiplying up monthly and quarterly bills, but remember to take seasonal fluctuations in to account. If you have problems completing any of the below, you are welcome to call the helpline on 0800 585 794.

4. Waste management:

Please indicate quantities or costs as appropriate for your other wastes.
    Quanitity/Cost Name
  Solid Waste (required):
  Liquid Waste/Effluent (required):
  Hazardous/Special Waste:
  Other Waste
(please name):
  Annual Waste Disposal Costs (£) (required):

6. Issues:

Please tell us about any particular waste management issues you would like to address.
Enter Detail: