Electronics Disposal Day Form

Looking forward to seeing everyone at Electronics Disposal Day.

Sign up for a drop off to expedite the process. Thank you!

"*" indicates required fields

Name

What items will you be dropping off?

Please put the appropriate quantities next to the items you will be dropping off.
Price: $60.00
Price: $50.00
Price: $5.00
Price: $5.00
Price: $5.00
Price: $5.00
Price: $5.00
Price: $5.00
Price: $30.00
Price: $5.00
Price: $20.00
Price: $20.00
Price: $60.00
Price: $30.00
Price: $30.00
Price: $5.00
Price: $5.00
Price: $20.00
Price: $60.00
Price: $25.00
Price: $20.00
Price: $5.00
Price: $15.00
Price: $20.00
Price: $15.00
Price: $10.00
Price: $20.00
Price: $10.00
Price: $20.00
Price: $5.00
Price: $65.00
Price: $50.00
Price: $20.00
Price: $5.00
Price: $25.00
Price: $5.00
Price: $40.00
Price: $5.00
Price: $30.00
Price: $5.00
Price: $25.00
Price: $10.00
Price: $5.00
Price: $5.00
Price: $30.00
Price: $50.00
List any additional items that might not be on the above list. These items will be reviewed for eligibility and priced on-site. NOTE: We are unable to accept scrap metal or wires that are not already attached to devices.
Please select your drop off time slot:*
Payment will be submitted via*