Request a Pickup

EWA staff will contact you to confirm and make the necessary arrangements.

Submitted by:

Date/Time

Sunday, May 20, 2012 - 19:33

Contact Email

Organization Name: *

Pickup Site Specifics:

You can enter additional pickup address/Site specifics here.

Est # of CRT (old style) monitors:

Est # of LCD (new style) monitors:

Est # of desktop computers:

Est # of notebook computers:

Est # of servers (individual units):

Est # of desktop printers & peripherals:

Est # of large printers & devices:

Are materials palletized or loose?: *

Loading dock or elevator/ramp accessible?: *

Security gate or other clearance required?:

If yes, please provide details below.

Preferred pickup deadline date:

Normal collection service days are Thursday and Friday excluding Federal Holidays

Certificate of Insurance required?:

yes

Special notes:

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

What code is in the image?: *

Enter the characters shown in the image.

Registered users get more access! - use 'login/register' link (top) to get started!

EWA Links