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First Name *

Last Name

Email Address *

Phone *

Street Address *

City

State/Province

ZIP / Postal Code

Country

Address Type *Business addressResidential address

Business name *

Additional information *Business with loading dockBusiness with forkliftItems Palletized / boxedItems loose, need packing

Address information *Pickup from BasementPickup from GarageFloor # if pickup from building

Do You have Pickup items list?

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Date *

Time *

Hours

Minutes

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First Name *

Last Name

Email Address *

Phone *

What you want to drop off? *LaptopsHard DrivesPC / ComputerServers / SwitchesParts / BoardsKeyboards & MiceFlat TV / ScreenCRT TV (OLD Big TV)Other, Please Describe

Laptops Quantity *

Hard Drives *

PC / Computer *

Servers / Switches *

Parts / Boards *

Keyboards & Mice *

Flat TV / Screen *

CRT TV (OLD Big TV) *

Other, Please Describe *

other

other quanity

Hard Drive Destruction Required?YesNo

Estimated number of HDD's *

Date

Time

Hours

Minutes

we provides secure IT recycling and asset recovery, including data destruction and nationwide data center decommissioning.

Contact

21580 Atlantic BLVD Unit 100 Sterling, Virginia 20166

Info@globaltechrecyclingllc.com

908-361-2304

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