Local Business E-waste Pickup Form

Please fill out our local pick-up form and click the submit button at the bottom of the form when you are through.  A Recycle Techs representative will contact you regarding  a date and time to remove your used equipment.
Due to the cheap or no recycling cost all residential pickups must be dropped off at either our valley or northside store. Businesses that qualify for the recycling program can have their equipment picked up. A pickup charge may apply. Please call for details.

Business/Customer:

Address:

City:   State:   Zip:

Contact Person:

Phone:     Extension:

E-mail Address:

How much equipment is needing to be picked up? 
1-5 pieces 5-10 pieces 10-20 pieces
20-50 pieces 50-100 pieces over 100 pieces
What is the percentage of working equipment?
0-20% working 20-40% working 40-60% working
60-80% working 80-99% working everything works

Around what date would you like us to pick up your used equipment?  (check our local pick-up info. page to check what days we will be in your area) Date:

Comments (Please add any comments or questions):

 Thank you.  Please click "Submit" when you are finished.