Contact Information

Requested pickup date
I will be dropping off on this date

Will help be provided?
Yes    No

What will the load consist of?

Monitors-- Size, Brand with Serial Number                                Printers -- Dot Matrix, Bubble Jet & Laser, Brand w/ Serial Number
Total Number over 15" Total Number Under 15"             Total Number Printers
           

Data or Video tapes lbs | Photo Copiers lbs           

Number of Keyboards

Number of Phones, and other small electronics

Number of Computers   More than 1/2 are Cannibalized*

Number of All-In-One computers (IMAC, EduQuest)

Number of TVs

Miscellaneous Items or other Information.  Please include any items from above that you need the serial number tracked for a Certificate of Destruction.

We will contact you within 2 business days to schedule your pick-up and let you know the charges.