Corporate/Business Computer Recycling Service Form

Computer Recycling

Fill out this form to receive a price quote for this pick-up service

Goodwill Easterseals Miami Valley provides professional computer recycling services using the highest industry standards
(5220.22-M) for environmental safety and data security.

Company or Organization Name:
Address:
City:
Zip Code:
Primary Contact Name:
Contact Telephone:
Contact Fax:
Contact E-Mail:
Pick-Up Address (if different from above):
Do you have a dock where the items will be located?:
If not, where will the items be located?:
Will the items be together or in multiple locations?:
What are the days and hours available for pick-up?:
If not on a dock, is there a freight elevator and someone to help operate it?:
Are there obstacles or special handling needs?:
What type of equipment will be donated?:
What is the approximate number of items?:
Will items be dry and clean?:

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