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

Pickup Request

Use this form only if you have at least 30 cell phones.* If you have less than 30 cell phones please ship them at your own expense.

Organization Information:

*Organization Name:	*Primary Contact Name:

*Primary Contact Phone #:	*Primary Contact Email:

Pick Up Address:

*Address:

*City:	*State:	*Zip Code:

Additional Info:
*Approximate Weight:	*Number of Boxes to be Shipped:

Fundraiser Consultant (if applicable):

Comments:

*required

*see Terms and Conditions for more details.