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Client Pickup Profile

We appreciate you taking the time to complete the client pickup form. We strive to provide excellent service each and every pickup. If you have any questions or comments please contact us at 513-433-2530.

Company Name:

Your Name:

Your Email Address:*

Your Phone Number:

Pick Up Address:

Onsite Contact:

Onsite Contact Phone Number:

Onsite Contact Cell Phone Number:

Estimated number of pallets or pallet places ready for pick up (Best Estimate Please):

If possible, please provide a picture of the equipment that needs to be picked up:

Is the equipment palletized and ready to be picked up, or would you like to take advantage of our packaging services?

Please indicate the number of gaylords and pallets you would like us to leave behind:

Would you like Asset Auditing? Asset Auditing defined; is the complete chain of custody captured through the serialization of your equipment including: make, model, serial number & asset tag.

What are your dock hours:

Do you have any dock or building restrictions our driver should be aware of?

Are there any special instructions that we need to be aware of such as elevators, the floor equipment, items that require a 2 man lift, ect..

Other Comments:


First Name

Last Name



Products for Reuse (select all that apply)
LaptopsDesktopsHard drivesMemoryProcessorsNetworkMobile phonesOther

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Products for Recycling (select all that apply)
LaptopsComponentsCircuit BoardsPlasticNon-FerrousBatteriesShredded Hard DrivesLCD Monitors

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