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. available Driver: loading Logistics and Recycle Fees Will Apply For All ItemsCompany Name *Address *Phone *FaxContact *Email *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: Monitors: Small Computer 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:Washer/Dryers :Stoves/Dishwashers:Dorm Refrigerators:Metal Items (please be specific):Submit
