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Remedial Approaches
Working with Us
Products
On-Site Services
Case Studies
Resources
REACH Compliance

Order Form

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Order Contact Information
Order Date*
Date Format: DD slash MM slash YYYY
Order Contact Name*
First Last
Phone*
Email*
Invoice Information
Company*
Address*
Street Address City County / State / Region ZIP / Postal Code Country
Region*

Products
Product Selection*
- RegenOx
- PersulfOx
- PetroCleanze
- ORC Advanced (ORC-A)
- ORC-A Pellets
- ORC-A Filter Socks
- Hydrogen Release Compound (HRC, HRC-X, HRC Primer)
- 3-D Microemulsion (3DMe)
- Metals Remediation Compound (MRC)
Oxygen Release Compound (ORC®) kg*
Enter order weight in kg
Advanced Oxygen Release Compound (ORC® Advanced) kg*
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ORC Advanced Pellets® kg*
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ORC Filter Socks:
50mm Socks - Quantity:
100mm Socks - Quantity:
150mm Socks - Quantity:
3-D Microemulsion (3DMe®) kg*
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Hydrogen Release Compound (HRC®) kg
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Extended Hydrogen Release Compound (HRC-X®) kg
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Hydrogen Release Compound Primer (HRC Primer) kg
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PersulfOx® kg*
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RegenOx® kg*
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PetroCleanze® kg*
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Metals Remediation Compound (MRC®) kg*
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Shipping and Delivery Info
Do you have a proposal from REGENESIS for this site?*
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If yes enter proposal number here
Site Name
Desired Arrival Date*
Date Format: MM slash DD slash YYYY
Ship to location:
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Street Address City County / State / Region ZIP / Postal Code Country
Is this the project site?*
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Delivery Timing (please select one)*
- Standard
- Next Day (where possible)
Please note, Standard Delivery times may vary and Next Day Delivery may not be possible, depending on location. We will confirm the delivery timing with you prior to shipment.
Special Delivery Instructions (Please check all that apply)
- Forklift is available on site
- Tail lift and pallet jack are required for offloading
- Morning delivery
- Afternoon delivery
- Timed delivery required (use text box below)
- Limited Access delivery
- Driver to call ahead
Other useful delivery info:

Terms and Conditions

Before your order can be processed and shipped
We will contract you shortly to confirm the provided information. An order confirmation form and our full T&Cs will also be provided to you at that time. Please e-mail the signed sales confirmation form to: europe@regenesis com. Orders will not be shipped until the signed and dated order confirmation is received by REGENESIS.

Any changes or modifications to this order must be received by REGENESIS no later than 24 hours prior to the ship date indicated at the time of order.

Shipping Disclaimer
Regenesis Ltd necessarily uses third party logistics companies for the shipping and transportation of its products. Although we strive to meet the shipping requirements of our clients, it is important to note that all shipments are subject to carrier availability, weather, mechanical problems or other unforeseen circumstances. As a result Regenesis Ltd does not accept responsibility for project/site costs incurred due to shipping related problems.

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We may use the data you provide to contact you with information about our products and services. See REGENESIS Privacy Policy. By clicking send, you agree that we may process your information in accordance with these terms.

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REGENESIS® offers remediation professionals a suite of innovative technologies and services to treat a wide range of contaminants, including petroleum hydrocarbons and chlorinated solvents, via enhanced bioremediation, chemical oxidation, desorption and metals immobilization.

REGENESIS Europe

Cambridge House
Henry Street, Bath, BA1 1BT
Tel: +44 (0)1225 61 81 61

Europe

Bath, United Kingdom
Ph: +44 (0) 1225 61 81 61

Dublin, Ireland
Ph: +353 (0) 1 9059 663

Torino, Italia
Ph: +39 338 8717925

Ieper, België
Ph: +32 (0) 57 35 97 28

International Distributors

Japan
Land-Concierge
Tel: 81-3-5577-5528
Web: www.land-concierge.com

China/Taiwan
Getz Bros & Co ZUG
+886-2-2721-2511
Web: www.getz.com.tw

Poland
PROTE Technologie dla Srodowiska Sp. z o.o.
+48-61-654-55-70
Web: www.prote.pl

© REGENESIS® 2020

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