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Green PC
Home
Computer Repair
E-Cycle
Contact US
Contact Name
*
Contact Name
First Name
Last Name
Residential or Non Residential Pickup?
*
For residential pick-up there is a $65 cash only fee
Yes, I am aware of the $65 cash only fee
I am not scheduling a Residential pick up
Contact Phone Number
*
Contact Phone Number
(###)
###
####
Contact Email Address
Name of your company (if applicable)
Address
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Requested Pick-Up Date
*
Requested Pick-Up Date
MM
DD
YYYY
Requested Pick-Up Time
*
Requested Pick-Up Time
Hour
Minute
Second
AM
PM
Items you are recycling?
Are we picking up loose items or pallets?
Loose
Pallets
How many?
1
2
3
4
5
6+
Comments and Special Instructions
Thank you!