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DISTRIBUTOR PRODUCT REGISTRATION
FOR DISTRIBUTOR USE ONLY
THIS FORM IS STRICTLY FOR DISTRIBUTOR USE ONLY
Operators or End-Users please contact your local distributor for any information you require.
Click here for a user guide
Distributor name
*
Distributor's job number
🛈
Distributor's serial number
🛈
Customer/end user
*
Country of final operation
*
AD - Andorra
AE - United Arab Emirates
AF - Afghanistan
AG - Antigua and Barbuda
AI - Anguilla
AL - Albania
AM - Armenia
AO - Angola
AQ - Antarctica
AR - Argentina
AS - American Samoa
AT - Austria
AU - Australia
AW - Aruba
AZ - Azerbaijan
BA - Bosnia and Herzegovina
BB - Barbados
BD - Bangladesh
BE - Belgium
BF - Burkina Faso
BG - Bulgaria
BH - Bahrain
BI - Burundi
BJ - Benin
BL - Saint Barthelemy
BM - Bermuda
BN - Brunei
BO - Bolivia
BR - Brazil
BS - Bahamas, The
BT - Bhutan
BV - Bouvet Island
BW - Botswana
BY - Belarus
BZ - Belize
CA - Canada
CC - Cocos (Keeling) Islands
CD - Congo, Democratic Republic of the
CF - Central African Republic
CG - Congo, Republic of the
CH - Switzerland
CI - Cote d'Ivoire
CK - Cook Islands
CL - Chile
CM - Cameroon
CN - China
CO - Colombia
CR - Costa Rica
CU - Cuba
CV - Cape Verde
CW - Curacao
CX - Christmas Island
CY - Cyprus
CZ - Czech Republic
DE - Germany
DJ - Djibouti
DK - Denmark
DM - Dominica
DO - Dominican Republic
DZ - Algeria
EC - Ecuador
EE - Estonia
EG - Egypt
EH - Western Sahara
ER - Eritrea
ES - Spain
ET - Ethiopia
FI - Finland
FJ - Fiji
FK - Falkland Islands (Islas Malvinas)
FM - Micronesia, Federated States of
FO - Faroe Islands
FR - France
FX - France, Metropolitan
GA - Gabon
GB - United Kingdom
GD - Grenada
GE - Georgia
GF - French Guiana
GG - Guernsey
GH - Ghana
GI - Gibraltar
GL - Greenland
GM - Gambia, The
GN - Guinea
GP - Guadeloupe
GQ - Equatorial Guinea
GR - Greece
GS - South Georgia and the Islands
GT - Guatemala
GU - Guam
GW - Guinea-Bissau
GY - Guyana
HK - Hong Kong
HM - Heard Island and McDonald Islands
HN - Honduras
HR - Croatia
HT - Haiti
HU - Hungary
ID - Indonesia
IE - Ireland
IL - Israel
IM - Isle of Man
IN - India
IO - British Indian Ocean Territory
IQ - Iraq
IR - Iran
IS - Iceland
IT - Italy
JE - Jersey
JM - Jamaica
JO - Jordan
JP - Japan
KE - Kenya
KG - Kyrgyzstan
KH - Cambodia
KI - Kiribati
KM - Comoros
KN - Saint Kitts and Nevis
KP - Korea, North
KR - Korea, South
KW - Kuwait
KY - Cayman Islands
KZ - Kazakhstan
LA - Laos
LB - Lebanon
LC - Saint Lucia
LI - Liechtenstein
LK - Sri Lanka
LR - Liberia
LS - Lesotho
LT - Lithuania
LU - Luxembourg
LV - Latvia
LY - Libya
MA - Morocco
MC - Monaco
MD - Moldova
ME - Montenegro
MF - Saint Martin
MG - Madagascar
MH - Marshall Islands
MK - Macedonia
ML - Mali
MM - Burma
MN - Mongolia
MO - Macau
MP - Northern Mariana Islands
MQ - Martinique
MR - Mauritania
MS - Montserrat
MT - Malta
MU - Mauritius
MV - Maldives
MW - Malawi
MX - Mexico
MY - Malaysia
MZ - Mozambique
NA - Namibia
NC - New Caledonia
NE - Niger
NF - Norfolk Island
NG - Nigeria
NI - Nicaragua
NL - Netherlands
NO - Norway
NP - Nepal
NR - Nauru
NU - Niue
NZ - New Zealand
OM - Oman
PA - Panama
PE - Peru
PF - French Polynesia
PG - Papua New Guinea
PH - Philippines
PK - Pakistan
PL - Poland
PM - Saint Pierre and Miquelon
PN - Pitcairn Islands
PR - Puerto Rico
PS - Gaza Strip
PS - West Bank
PT - Portugal
PW - Palau
PY - Paraguay
QA - Qatar
RE - Reunion
RO - Romania
RS - Serbia
RU - Russia
RW - Rwanda
SA - Saudi Arabia
SB - Solomon Islands
SC - Seychelles
SD - Sudan
SE - Sweden
SG - Singapore
SH - Saint Helena, Ascension, and Tristan da Cunha
SI - Slovenia
SJ - Svalbard
SK - Slovakia
SL - Sierra Leone
SM - San Marino
SN - Senegal
SO - Somalia
SR - Suriname
SS - South Sudan
ST - Sao Tome and Principe
SV - El Salvador
SX - Sint Maarten
SY - Syria
SZ - Swaziland
TC - Turks and Caicos Islands
TD - Chad
TF - French Southern and Antarctic Lands
TG - Togo
TH - Thailand
TJ - Tajikistan
TK - Tokelau
TL - Timor-Leste
TM - Turkmenistan
TN - Tunisia
TO - Tonga
TR - Turkey
TT - Trinidad and Tobago
TV - Tuvalu
TW - Taiwan
TZ - Tanzania
UA - Ukraine
UG - Uganda
UM - United States Minor Outlying Islands
US - United States
UY - Uruguay
UZ - Uzbekistan
VA - Holy See (Vatican City)
VC - Saint Vincent and the Grenadines
VE - Venezuela
VG - British Virgin Islands
VI - Virgin Islands
VN - Vietnam
VU - Vanuatu
WF - Wallis and Futuna
WS - Samoa
XK - Kosovo
YE - Yemen
YT - Mayotte
ZA - South Africa
ZM - Zambia
ZW - Zimbabwe
Date in service/date of delivery
*
+
Date of manf.
*
+
Company responsible for mounting
*
Condition from factory (BODY)
*
CKD (Complete Knock Down)
PKD (Part Knock Down)
FBU (Fully Built Unmounted)
FBM (Fully Built Mounted)
TE factory of origin
*
Dennis Eagle, UK
RosRoca, Spain
HS, Germany
Terberg Machines, NL
PRODUCT INFORMATION
You must choose at least one of the following
Bin lift
*
Yes
No
Bin lift type
*
OL Mini Bar Lift
OmniDEL E
OmniDEL Triple
OmniDEL Triple (E)
OmniDEL 50:50
OmniGV
OmniDEKA
OmniDEKA (E)
OmniDEL
OmniTRADE
OmniTRADE (E)
OmniTRADE-B
OmniMAX
OmniMAX (E)
EuroTRADE
EuroMAX
VIKING Automatic
VIKING Manual
MOC500
MOC800
Tinium Auto
TInium Triple Auto
Tinium 50:50
TA-DE
TA-DE (E)
TCH-D
TCH-DH
TCH-DH-B
TCH-OEL
TH-DH
TH-DH-B
TH-OL
TGV
Beta
UPC 500kg
UPC Industrial
UPC 800kg
MOC industrial
Other Industrial RosRoca Lifter
Other (specify opposite)
Details of modification, if any
Bin lift make & model
Bin lift serial number
*
Bin weighing system
*
Yes
No
RFID
*
Yes
No
Body product
*
Yes
No
Body type
*
Olympus ART (Non-EN Compliant)
Rear Loader (Olympus & Olympus Mini)
Recycling
Water Tanker
Bin Washer
Other
Please specify
*
Olympus AЯT
(non-EN Compliant)
*
OL10N (Olympus Narrow)
OL11N (Olympus Narrow)
OL12N (Olympus Narrow)
OL14N (Olympus Narrow)
OL16N (Olympus Narrow)
OL19N (Olympus Narrow)
OL13W (Olympus Wide)
OL14W (Olympus Wide)
OL16W (Olympus Wide)
OL17W (Olympus Wide)
OL19W (Olympus Wide)
OL20W (Olympus Wide)
OL21W (Olympus Wide)
OL23W (Olympus Wide)
OL25W (Olympus Wide)
OL27W (Olympus Wide)
OL Mini 6
OL Mini 7
OL Mini 8
OL Mini 9
OL Mini 10
Rear loader (Olympus)
*
OL Mini 6
OL Mini 7
OL Mini 8
OL Mini 9
OL Mini 10
OL10N (Olympus Narrow)
OL11N (Olympus Narrow)
OL12N (Olympus Narrow)
OL14N (Olympus Narrow)
OL16N (Olympus Narrow)
OL19N (Olympus Narrow)
OL13W (Olympus Wide)
OL14W (Olympus Wide)
OL16W (Olympus Wide)
OL17W (Olympus Wide)
OL19W (Olympus Wide)
OL20W (Olympus Wide)
OL21W (Olympus Wide)
OL23W (Olympus Wide)
OL25W (Olympus Wide)
OL27W (Olympus Wide)
OL 19W+ (Olympus Wide +)
OL 20W+ (Olympus Wide +)
OL 21W+ (Olympus Wide +)
OL 23W+ (Olympus Wide +)
OL 25W+ (Olympus Wide +)
OL 27W+ (Olympus Wide +)
OLTP12 (Twin Pack Wide)
OLTP16 (Twin Pack Wide)
OLTP19 (Twin Pack Wide)
OLTP22 (Twin Pack Wide)
OLTP23 (Twin Pack Wide)
OLTP27 (Twin Pack Wide)
OLTP13N (Twin Pack Narrow)
OLTP17N (Twin Pack Narrow)
OLTP15L (Viking Twin Pack)
OLTP17L (Viking Twin Pack)
OLTP19L (Viking Twin Pack)
Recycling model
*
Toploader Compact
Toploader 25
Toploader 28
Toploader 32
Kerbloader SD
Kerbloader Stillage
Kerbloader Mini
Kerbsider Compact
Kerbsider 25N
Kerbsider 28
Kerbsider 33
Kerbsider HC
Kerbsider Stillage
Mini Kerbsider
Mini Kerbsider Stillage
PBUV 6.5
PBUV 8.5
Toploader Biowaste
Toploader ABP
Other
Bin washer
*
LCCT-5500 (5500L capacity)
LCCT-7000 (7000L capacity)
LCCT-8000 (8000L capacity)
LCCT-12000 (12000L capacity)
Water tanker
*
Tanker 8 (8200 L capacity)
Tanker 9 (9000 L capacity)
Tanker 10 (10000 L capacity)
Tanker 16 (16000 L capacity)
TE body project (serial) number
*
🛈
Mounted to chassis
*
Yes
No
Chassis make/model
*
Dennis Elite 6
Other
Dennis Eagle chassis configuration
*
4x2 Narrow
6x2 Mid Lift Narrow
6x2 Mid Steer Narrow
6x2 Rear Steer Narrow
4x2 Wide
6x2 Mid Lift Wide
6x2 Mid Steer Wide
6x2 Rear Steer Wide
6x4 Wide
8x4 Wide
Make and model of chassis-cab
*
Chassis number
*
🛈
END CUSTOMER TERMS & AGREEMENTS WITH DISTRIBUTOR
Warranty period
*
0m
6m
12m
18m
24m
36m
48m
60m
N/A
Level of aftersales
*
Service and maintenance
Service only
Maintenance only
N/A
Additional details
FURTHER DETAILS
Customer given operator training
*
Yes
No
Manuals and certificates given to customer
*
Yes
No
PDI - complete and passed
*
🛈
Yes
No
PDI date
*
+
TE PDI reg. No.
*
🛈
Product image upload - at time of customer hand-over - FRONT
*
🛈
Product image upload - at time of customer hand-over - SIDE
*
🛈
Product image upload - at time of customer hand-over - REAR
*
🛈
Product upload up to 3 additional photos or supporting documents if you wish
🛈
Any additional notes, comments or observations
DECLARATION & CONFIRMATION
Please sign electrically below
*
🛈
clear
Your name
*
Date
*
+
Contact email address
*
Please confirm email address
*
I/We agree and accept the terms and conditions* of submission of product registration and confirm the information and any data provided is accurate.
*
Agree
*Details, including terms and conditions of warranty, can be found within the Terberg Environmental Global Warranty Policy, available upon request.
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