Certificate of Recycling

Certificate Of Recycling F34

1 - Items Recycled

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Cell Phones *

Computers *

Laptops *

Monitors *

Printers *

Servers *

Network *

Cartridges *

Other Items *

2 - Customer Info

First and Last Name *

Email *

Company Name *

Phone Number *

Address 1 *

Address 2

City *

State *

Zip *

3 - Services and Date

COR Tracking Number *

BOL #

Services *

Electronic Pickup

Drop-off and Recycling

Data Destruction

Revenue Sharing (Businesses Only)

Dropped of Date *

Would you like us to pickup from your business

Yes

Do you need any Recycling Bins?

Yes (How Many)Yes (How Many)

Do you need any Pallets?

Yes (How Many)Yes (How Many)

Do you need any Gaylord Boxes

Yes (How Many)Yes (How Many)

Message - Special Requests

If you are human, leave this field blank.

1 - Items Recycled

2 - Customer Info

3 - Services and Date

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