General Frequently Asked Questions
Personal Accident Insurance Coverage
Recycling Insurance Scheme
Recycling Points System

Recycling Insurance Scheme Sign up Form

Personal Information
Given Name*
Email Address*
Date of Birth* / / (DD/MM/YYYY)
Home Phone*
Office Phone
Mobile Phone
Fax Number
Sex*   Male Female
Marital Status *
Company Name & Company Address
(If any)
Mailing Address*
Residential Address*

*Compulsory Fields

Please note that by signing this form will only mean that you will have a Recycle Account with Recycling Point Dot Com and it does not automatically qualify you for the free policy with immediate effect.

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