Residential a Pickup
All items will be recycle, up-cycle or destroyed at an R2V3 facility.
Appointment
*
Pickup or Drop Off Date
*
Name
*
First Name
Last Name
Company
Company Name
Phone Number
*
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
List of Equipment
*
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( X )
Monitor(s)
Computer and Displays
10.00
KYD
Quantity
Item subtotal:
0.00
KYD
Computer(s)
Desktops and Laptops
10.00
KYD
Quantity
Item subtotal:
0.00
KYD
Mobile Phones
10.00
KYD
Quantity
Item subtotal:
0.00
KYD
Upstairs Equipment Removal
If Equipment has to be removed from upstairs
25.00
KYD
Quantity
1
2
3
4
5
6
7
8
9
10
Printer
10.00
KYD
Quantity
Data Destruction
On-Site Degaussing and Data Destruction
15.00
KYD
Quantity
TV Display 30-45"
45.00
KYD
Quantity
1
2
3
4
5
6
7
8
9
10
TV Display 50-65
TV Display
65.00
KYD
Quantity
1
2
3
4
5
6
7
8
9
10
TV Display 70-85
TV Display
85.00
KYD
Quantity
1
2
3
4
5
6
7
8
9
10
TV Display 90-UP
TV Display
125.00
KYD
Quantity
1
2
3
4
5
6
7
8
9
10
Special instructions
0/250
Signature
*
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