Large Load E-Waste Form

 
If you are a business or individual with more than a pickup truck load of e-waste, please fill out this form so we may prepare resources. Synergy Recycling may contact you to arrange alternative delivery dates, depending on the quantity and type of e-waste. Thank you for your help.
 
 
Name (Person or Business)
 
Phone
 
E-mail
 
E-waste Amount (Description)
 
E-waste Type (Description)