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Systiva Replacement Form

We appreciate you taking the time to complete the form. If you have any queries regarding the return of your stock, please contact the Customer Experience team on 1800 558 399 or email agro-anz@basf.com

*PLEASE NOTE: A new form must be filled out for each pack size being returned.

Store name

Contact name

Phone number

Product to be returned

Total quantity returning (L)

Batch number:

e.g. 0024270540
Please note: only in-date batches are eligible