Corporate/Residential Pick-Up Request Form
Notes/Comments
Address
Company
Area Code/Phone
Title
Requested Pick-up Date (Businesses Only)
City/State/Zip
Hours of Operation (Businesses Only)
Items to be Recycled
Email
Please complete the above Corporate/Residential Pick-Up Request form if you would like to schedule a business or residential pick-up of your electronic waste.  Upon receipt,  a GreenMouse Recycling specialist will call you within 24 hours  to schedule your pick-up.
Name
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