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Please fill out the below form with as much information as possible in order to arrange for pickup.

School/Business Name:
Address:
City:
State:
Zip Code:
Telephone:
Email:
Contact Person:
Best time for pickup:
 Empty Inkjets    Empty Lasers   Used Cell Phones   Computers
 I would like to be contacted by:
 I would like to purchase "premium compatible" cartridges
 I would like to donate the value of the cartridges/cell phones to: 
 
 

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