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:
*
Phone:
*
Selection
of Account Change Notifications
Account
Changes?
*
Select
all Changes
Change
of Shipping Address
Change
of Mailing Address
Change
of Contact Name
Change
of Telephone Number
Change
of Email Address
Turn
ON Auto-Monthly Re-Order
Turn
OFF Auto-Monthly Re-Order
Are
you requesting an Additional Address for Existing
Customer?
(If yes, please list
existing customer name)
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 / Apt:
City:
State / Province:
Zip:
Inkjet & Laser Cartridge Collection Materials
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.
Follow-Up
/ Comments
Telephone
Follow-up:
Please list any
comments, questions or concerns. In addition, please list
other locations in this section.
*Required
Visit our
Recycle Free Customer Care Center
for useful information including tools & tips, FAQ's, logistical information, privacy policy and legal information.
