Contact Us: giftmypc@gmail.com

Request Pick-up

Please complete this form to request a pick-up:

 

First Name*

Last Name*

Title*

Organization*

Street Address*

Street Address Line2

City*

State*

Zip*

CONTACT INFORMATION:

Phone*

Cell Phone*

Email*

RECYCLING INFORMATION:

Desired time-frame for recycling services*

Briefly describe the quantity of items to be recycled*

Other Information