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Skid Pick Up Request Form

Please fill out the form below to request a pick-up:

Please provide us with all of the requested information so we will be able to reach you in case we have any questions.


Recycling Partner Information

Company Name:

Account Number:

Requesters Name:

Requesters Email:

*Valid E-Mail Required

Pick-Up Location and Information

Company Name:

Contact Person:

Contact E-mail:

Contact Phone:

Address

Address 2

City

State

Zip

Number of Skids

Aprox. Weight

Does this location have a loading dock?

Yes No

Will there be a fork lift available for use?

Yes No

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