Our purpose is to Make A Difference in the lives of those in need and our environment.

FREE Office Electronics Recycling Pickup Request

Use this form only if you have at least 30 items. If you have less than 30 items
click here to get a USPS prepaid shipping label.

Company Information:

*Company Name:

*Primary Contact Name:

*Primary Contact Phone #:

*Primary Contact Email:

Pick Up Address:

*Address:

*City:

*State:

*Zip Code:

Additional Info:

*Est. # of Cell Phones:

*Est. # of Chargers / Accessories:

*Est. # of Inkjet Cartridges:

*Est. # of Laser Toner Cartridges:

*Est. # of Other Items:

*Other items description:

*Approximate Weight:

Box 1

Box 2

Box 3

Box 4

Box 5

Box 6

Box 7

Box 8

Box 9

Box 10

Organization you would like the recycling proceeds to benefit (if applicable):

Comments:

Project KOPEG Rep (if applicable):

*required