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Name (required)

Company Name

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Pickup Address

Mobile Electronics Recycling Bin?

Drop Off EmptyPickup

Electronic Recycling?

YesNo

Hard drive destruction on-site?

YesNo

What type of material?

ComputersMonitorsPrinters / Fax MachinesCopiersMedical EquipmentKeyboard / MiceOther

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Phone: 813-886-1494
Fax: 813-886-6252
Email: jlawler@qsrecycling.com
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