Turn Old to Gold: Scrap4New Freezer Assessment Form
Name
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First Name
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Last Name
Phone
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Address
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Street Address
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City
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State/Region/Province
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Åland Islands
Afghanistan
Akrotiri
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Australia
Austria
Azerbaijan
Bahrain
Bangladesh
Barbados
Bassas Da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia
Comoros
Cook Islands
Coral Sea Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Dhekelia
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Federated States of Micronesia
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
Holy See (Vatican City)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Jan Mayen
Japan
Jersey
Jordan
Juan De Nova Island
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Navassa Island
Nepal
Netherlands Antilles
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paracel Islands
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Reunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
The Bahamas
The Gambia
Timor-leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands
Wake Island
Wallis and Futuna
West Bank
Western Sahara
Yemen
Zambia
Zimbabwe
Nigeria
Country
Are you the owner of the freezer?
*
Required
Yes
No
Other
Other
Brand and Model Name of Current Freezer
*
Required
How long have you been using this freezer?
*
Required
Less than 1 year
1–3 years
3–5 years
More than 5 years
What type of freezer is it?
*
Required
Chest Freezer
Upright Freezer
Double Door
KOOLBOKS Solar Freezer
Other
Other
Current condition of the freezer
*
Required
Working perfectly
Working but with issues
Not cooling
Not working at all
Has it been repaired before?
*
Required
Yes
No
Not sure
Are you interested in
*
Required
Sell your Old freezer for Monetary value
Swapping for a refurbished freezer
Swapping for a brand-new freezer
If you’re open to a swap, what kind of freezer are you hoping to upgrade to?
*
Required
538L Koolboks DC Freezers
200L Koolboks AC Inverter Freezers
358L Koolboks Upright Chiller
Scanfrost 300L Chest Freezer
Scanfrost 600Ltr Inverter Chest Freezer
Haier Thermocool Chest Freezer MED
Haier Thermocool Chest Freezer LRG
Bruhm 242L BLACK GLASS TOP
195L Koolboks Icemaker (DC)
358L Koolboks Upright Chiller (DC)
200L Koolboks AC Inverter Freezer
208L Koolboks Solar Freezer (DC)
538L Koolboks Solar Freezer (DC)
600L Koolboks AC Inverter Freezer
750L Koolboks AC Inverter Freezer
198L Koolboks AC Inverter Freezer
208L Koolboks AC Inverter Freezer
530L Koolboks AC Inverter Freezer
538L Koolboks AC Inverter Freezer
Scanfrost 380Ltrs Bottle Cooler
Scanfrost 348L Frost Freeezer
Scanfrost 310L TMF, Cool Pack
Scanfrost 250Ltrs Upright Freezer
Bruhm 500L SILVER
Bruhm 700L SILVER
Bruhm 230LTR VERTICAL Chest Freezer
Bruhm 391L DOUBLE DOOR BEVERAGE COOLER
Bruhm 436LTS BLACK GLASS DOOR
Other
Other
Would you be interested in a flexible payment plan?
*
Required
Yes
No
Interior Image of the Freezer
*
Required
Upload file
Capture image using webcam
Choose File(s)
Upload an image of the interior of your freezer
Exterior Image of the Freezer
*
Required
Upload file
Capture image using webcam
Choose File(s)
Upload a clear image of the freezer’s exterior
Side view Image of the freezer
*
Required
Upload file
Capture image using webcam
Choose File(s)
Upload a clear image of the side view of your freezer
Video Upload
*
Required
Upload file
Capture Audio
Capture Video
Choose File
Referral's Name
*
Required
First Name
Required
Last Name
Business Unit/State
*
Required
Please ensure you take clear pictures of each side of the freezer (front, back, left, and right) so we can have a full overview of its condition. Also note that, we only take freezers that are not in working conditions.
Thank you
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