REQUIRED: By checking this box, I confirm that all EFI, device management, BIOS lock, iCloud locks and network assignments will be removed prior to pick up. eWaste Direct will assist you with this process if needed.

CONTACT INFORMATION

Company Name*

Contact Name*

Email Address*

Phone Number*

SECONDARY CONTACT

Secondary Contact Name

Secondary Email Address

Secondary Phone Number

PICK-UP LOCATION

Street Address for Recycling Pick-Up

City, State, Zip

What floor is the pickup material on?

Please select all of the special loading circumstances that apply:
Loading ZoneDockFreight Elevators

Does building require insurance?YesNo

-- If so, please upload building requirements (if we do not have them on file)

PICK-UP MATERIAL DESCRIPTION

*Please use the text area below to describe the materials and quantities you have for pick-up. Please be as specific as possible so that eWaste Direct, Inc. may plan for moving equipment, safety equipment, and staff needed for the pick-up.

Please upload pictures of material:

CERTIFICATE OF DESTRUCTION

Do you need a Certificate of Destruction (fees may apply) YesNo

Important: If you DO need a Certificate of Destruction, please confirm you understand each the following notes:

FREE COD REQUIRES All drives, tapes, or any items with data need to be removed and isolated prior to collection.

COD will include the Company, Contact, date of collection and hard count of items isolated.

Removal of drives from any PC, Server, laptop, switch, or printing device will incur a $5/each charge

Report tracking will incur a $5 charge for each serial number

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