We will contact you within 2 business days after receiving this submission. Thank you. Request Date: Company Name: Contact Name: Pickup Location: Street Address: City: Zip: Business Phone: ext: Business FAX: Cross Street: Pickup Hours:Pickup Days: Parking Restrictions: None Special Instructions Loading Dock? No Yes Special Instructions - (If any) Please list computers, monitors, printers, parts and accessories below: example: [Qty] 9, Wizbang / Plethyum, [MHz] 333, [RAM] 64 megs, [HDD] 2 gig, c, [mon]15", [pri] laserjet4. Qty Make / Model MHz (speed) RAM (memory) HDD size laptop=L midtower=MT desktop=D monitor size printer: Lazer=Laz Inkjet=Ink DotMatrix=Dot Please list computer parts and accessories below
We will contact you within 2 business days after receiving this submission. Thank you. Request Date: Company Name: Contact Name: Pickup Location: Street Address: City:
Zip: Business Phone: ext: Business FAX: Cross Street: Pickup Hours:Pickup Days: Parking Restrictions: None Special Instructions Loading Dock? No Yes Special Instructions - (If any) Please list computers, monitors, printers, parts and accessories below: example: [Qty] 9, Wizbang / Plethyum, [MHz] 333, [RAM] 64 megs, [HDD] 2 gig, c, [mon]15", [pri] laserjet4. Qty Make / Model MHz (speed) RAM (memory) HDD size laptop=L midtower=MT desktop=D monitor size printer: Lazer=Laz Inkjet=Ink DotMatrix=Dot
Please list computer parts and accessories below
*First Name: *Last Name: *Primary Phone Mobile Phone *Email: *WHEN would you like to be contacted? Morning Afternoon Evening *HOW would you like to be contacted? Telephone Email *How did you hear about eWaste Corporation? Radio Television Internet Corporate Referall *Please enter your request to the eWaste Corporate Office.
*First Name:
*Last Name:
*Primary Phone
Mobile Phone
*Email:
*WHEN would you like to be contacted? Morning Afternoon Evening
*HOW would you like to be contacted? Telephone Email
*How did you hear about eWaste Corporation? Radio Television Internet Corporate Referall
*Please enter your request to the eWaste Corporate Office.