For Electrical and Electronic Equipment Producers Unofficial Form

PRODUCER REGISTRATION

FOR ELECTRICAL AND ELECTRONIC EQUIPMENT PRODUCERS UNOFFICIAL FORM

For official notification please use Finnish or Swedish forms. Only producers with a Finnish company registration code (Y-code) can be accepted in the producer data register.

Producer

manufactures or sells equipment under own trademark New registration

sells others equipment under own trademark Change to earlier registration

imports or exports

engaged in distance selling

INFORMATION ABOUT THE PRODUCER

Official name / Company registration code (Y-code)
Address (street) / Turnover
euros
Postcode / Town/district and country
Tel. no. / Telefax
Name and position of contact person / Tel. no. of contact person
E-mail address / Telefax
Address of contact person’s workplace
Postcode / Town/district and country

INFORMATION ABOUT PRODUCTS TO BE MARKETED IN FINLAND BY THE PRODUCER

Details of the products marketed by the producer, including the market area and estimates of the market share (in euros and in weight) by product category should be submitted on page 2 of this form.

SIGNATURE AND DATE

Date and location / Signature (please also write out name in full clearly)
…………………………………………………………………

ENCLOSURES

The following enclosures must be submitted in addition to the registration form (see instructions):

· Details of any waste management and recovery procedures arranged by the producer, including the operating area and the types, quality, amounts and origins of the wastes involved.

· Details of any relevant agreements on waste management.

· Details of assurance.

· Other enclosure (please specify):

Details of the products marketed by the producer, including the market area and estimates of the market share (in euros and in weight) by product category

Equipment categories as defined in Annex I to Council of State Decree 852/2004
(see instructions) / Marketed equipment categories
( X ) / Market area / Estimated annual market share
- in euros / Estimated annual market share
- in product weight
1. Large household appliances
2. Small household appliances
3. IT and telecoms equipment
4. Consumer equipment
5. Lighting equipment
6. Electrical and electronic tools (except large stationary industrial tools)
7. Toys, leisure and sports equipment
8. Medical devices (with the exception of all implanted and infected products)
9. Monitoring and control equipment etc.
10. Automatic dispensers

ADDITIONAL DETAILS

6412 en/05.05 Pirkanmaan ympäristökeskus

Rautatienkatu 21 B, PL 297, 33101 Tampere

Puh. (03) 2420 111, telefax (03) 2420 266

http://www.ymparisto.fi/pir