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E-Waste Harvesters offers a full line of services!
E-Recycling & More!
CONTACT E-WASTE HARVESTERS TODAY!
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Call Today! 602.476.7533
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Pickup Request Form
Customer Name
*
:
Customer ID:
Cost Center:
PO Number:
Name
*
:
Phone
*
:
Email
*
:
Pickup Location
Address
*
:
City
*
:
State
*
:
Non-US Province:
Zip/Postal Code
*
:
Country:
Asset Details
Total # Of Units
*
:
(Total Number Of Units)
Location Details
Where is the equipment located in the building?
(i.e. floor, room, etc.)
What are the Dock Hours of Operation?
Is scheduling a specific pickup time required?
Is a lift gate needed?
Is a pallet jack available?
Is a forklift available?
Additional Comments
