ONLINE PICK-UP REQUEST

Please take a minute and inventory your items for recycling. This will assist our company and/ or your building management group in planning a simple and efficient ‘free e-waste collection.’ Please feel free to email or call our office with any questions or confusions. Please see contact information at the bottom of the page or connect to our website.

CONTACT INFO
Company Name:
Collection Date:
Location (address):
Contact Person:
Email:
Phone:
Items Elligable for Disposal Qty.
E-WASTE
Monitors
Computer Systems
Laptops
Televisions
Cellular Telephones
Other E-Waste
Bulky
UNIVERSAL WASTEs
Fluorescent tubes
U-tube / Compact / Circular bulbs
Halogen / Incandescent / Quartz lamps
Dry Cell batteries (indicate number of lbs)
Wet Cell batteries (indicate number of lbs)
Ballasts
ScripScrap?
Other Comments


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