Instructions:
Read this form carefully. There are
three (3) simple tips to remember.
1. Please complete all mandatory
fields.
2. Select the correct payment
option.
3. Choose the collection materials
that suit your requirements.
PLEASE DESTROY ALL ENVIROSMART COLLECTION MATERIALS IMMEDIATELY. DO
NOT USE THE MATERIALS.
We
apologize for any inconvenience. This
change does not affect our inkjet cartridge or mobile phone
recycling programs. Thank you for your understanding.
*Mandatory Selections
Organization
Name and Contact Information
Organization:
*
Contact:
*
E-Mail address:
*
Alternate
Contact:
Phone:
*
Alternate Phone:
Fax:
Shipping
Address
Street Address:
*
Please do not use PO
Box.
Suite / Room Number:
Mail
Stop:
City:
*
State / Province:
*
Zip:
*
Mailing
Address (if different than shipping address)
Street Address:
Suite / Room Number:
Mail
Stop:
City:
State / Province:
Zip:
Inkjet & Laser Cartridge Collection Materials
NEW - FOR USE WITH INKJET & LASER
CARTRIDGES Prepaid Inkjet & Laser Cartridge
UPS Return Labels (RLAB-5)
These FREE prepaid
Inkjet & Laser cartridge return labels are ideal for all Inkjet & Laser cartridge returns.
Affix the label to any large box and place a minimum of six (6) empty
Laser cartridges in each box, a large quantity of Inkjet cartridges or
both. Tape the box shut and ship the cartridges.
It's just that simple. Includes 5 return labels. Available in
Continental US only.
Enter Quantity: Please ship
a pack of 5
Prepaid labels.
Mobile Phones Collection
Materials
Mobile Phone Recycling Program
Do you have phones ready to send
us? If yes, please compete the following information.
We
will send you a kit that includes 2 collection boxes with
prepaid UPS shipping
labels.
*
How many phones do you have ready to ship?
*
Our kits include 2 collection boxes, enough for at least 50
phones. How many kits
do you need?
*
Vacation Fundraiser
NEW
Vacation Fundraiser
Would you like more
information?
If yes, best phone
number to contact you.
Registration
Information
Registration
Type:
*
How
did you hear about us:
*
Are
you requesting an Additional Address for Existing
Customer?
(If yes, please list
existing customer name)
Enter
Promo #
(if
applicable)
Auto-Monthly
Re-Order:
Click
Here if you want Recycle Free to ship you the same materials every
month.
Follow-Up
/ Comments
Telephone
Follow-up:
Please list any
comments, questions or concerns. In addition, please list
other locations in this section.
Optional
Information Requested - For Businesses Only
Inkjet Cartridge
Annual Usage:
Laser Cartridge
Annual Usage:
# of Employees:
Optional
Information Requested - For Fundraisers Only
# of Students:
# of Classrooms:
# of Teachers:
*Required
Visit our
Recycle Free Customer Care Center
for useful information including tools & tips, FAQ's, logistical information, privacy policy and legal information.
