Recycling Pick-up Form DOWNLOAD PRINTABLE PICK-UP FORM RRS Services Pick Up Information SheetPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Logistics and Recycle Fees Will Apply For All ItemsCompany Name *Address *Phone *FaxContact *Email * Check available 50 Business Hours available for pickup? *Does your company employ more than 50 employees? *YesNoDoes your company have a loading dock for this pick up? *YesNoCheck Requested Services: *E‐Waste RecyclingTV/Monitor RecyclingFreon Appliance RecyclingHard Drive DestructionDocument ShreddingNon Freon‐Appliance RecyclingLight Bulb RecyclingBattery RecyclingOther: List in box belowOther Items:Are items: *On PalletsIn Gaylord BoxesHow many of each?** If items are not palletized, please complete "Loose Loading Form" below. If items are palletized skip that section.You will receive a call/email from us with pickup date and time. ALL ITEMS FOR PICKUP MUST BE GATHERED TOGETHER IN ONE AREA ON GROUND LEVEL OR ON A LOADING DOCKSpecial Instructions for Driver:Submit RRS Loose Loading Information SheetPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.NOTE: You must complete the above Pickup Form before completing this form.Company Name *Contact Name *Email *Phone *Please tell us about your e‐waste. List the number of each item you have for recycling.Desktop Computers:Laptops:UPS (Battery backups):Desktop Printers:LCD (Flat) Computer Monitors:CRT (Tube) Monitors:Large TVs (Wooden console, Projection):TVs (Tube/Flat):Floor Copiers/Printers:Large Machines:Small Electronics (Keyboards, Phones, Cables, Routers, Computer Parts, etc.):Full Size Refrigerator/Freezers:Air Conditioners:Humidifiers/Dehumidifiers: Name Conditioners: TVs Washer/Dryers :Stoves/Dishwashers:Dorm Refrigerators:Metal Items (please be specific):Submit
