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Enquiry
CONTACT
Enquiry
Organization/Company Name
Your Name
Email
Contact
City
State
Postal Code
Collection Data Request
Address
Address
Material You Would like Collected
Please Select
Desktop (with Monitor)
CPU
CPU Cabinet
CRT Monitor
Plat Panel Monitor
TFT Monitor
Server - Large
Server - Small
Television
Fax Machine
Printer - Inkjet
Printer - Laser - Large
Printer - Laser - Small
Copier Machine
Scanner
UPS
UPS Battery
Keyboard
Mouse
Computer Components
Phone System / Handset
Other
Description
Quantity
Anticipated Volume
Please Select
Unit
KG
Tons
Pallets
Candition
Please Select
Working
Nonworking
Broken
Incomplete
