Business Pick-ups & Donations

Business Pickups
If your business has 2+ working laptops P4/G4,G5, 5+ working P4 towers, or 10+ items (computers/monitors/laptops) please request a business pickup with the "business pickup request" form (b.p.u.r. form). We will reserve space on the truck for ALL items you list on the form, including keyboards, mice, cables, external devices, etc. Special arrangements are made for oversized items; ie: large copiers, servers, UPS, large printers & plotters, etc. There is a FEE for oversized items based on size, weight, type of equipment, and location. Please fill out the b.p.u.r. form and we will contact you within 2 business days of receiving it to confirm receipt, and to discuss scheduling a pickup.

Large and oversized items require special pickups with additional costs.

Please fill out the "business pickup request form" and submit it through our computer system or call us toll free(1-888-887-3372) and we will take your information over-the-phone. We will contact you to coordinate a pickup date and details.

Please do NOT fax the form to us (It is too difficult to read) Disregard fax instructions on form.

IT IS ILLEGAL to trash electronics in dumpsters and garbage cans. Please Recycle!

Business Pickup Request Form
Computer Recycling Center

Submit this form to request a business pickup for a quantity of computer equipment.
Or
Print this form (click "Print This Page" instead of "Submit Request") and FAX it to 415-643-6290.
Hint: - You can fill in the form in your browser before printing it.

This form for California only. * = Required

Request Date: 02/3/12


Company Information:
Company Name*
Contact Name*
Contact Email (for a copy of your request.)
Business Phone*		() - ext.
Business FAX		()

*Does Your Property Management Company Need A Certificate of Insurance? If yes provide information below:
Company Name
Contact
Phone Number

Pickup Location:
Street Address*
City*
Zip*
Cross Street
Pickup Hours
Pickup Days
Parking Restrictions
Loading Dock		YES NO
Dock Hours
Dock Height Restrictions
Stairs		YES NO
Elevator		YES NO
Copier, Printer or any item over 75 lbs.
		YES NO If yes, describe below

*Please be as exact as possible with your item quantities to
ensure all your items can be picked up.

Computers	Qty PC	Qty Mac
Tower/Desktop
Laptop
Server

Screens	Qty	Size(s)
Monitor
TV
Flat Panel

Accessories	Qty
Keyboard
Mouse
Cable

Weights are approximate.

Peripherals	Qty	Weight	Qty	Weight	Qty	Weight
Printer
Copier
UPS/Battery Backup

Certificate of Destruction for data needed for computers?

Costs and fees are deductible as a business expense. Thank you for donating your equipment.

BPRequest_FORM. rev 9300

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