ALBA E-Waste Secure-Recycle with Pick
Request Form
Name
*
First Name
Last Name
Mobile Number
*
Please enter a valid phone number.
Format: (00)00000000.
Email
*
example@example.com
Address
*
Street Address
Unit Number
City
State / Province
Postal / Zip Code
ICT Item Details
Laptop
Enter number of Laptops
Laptop Brand & Model
Tablet
Enter number of Tablets
Tablet Brand & Model
Mobile Phone
Enter number of Mobile Phones
Mobile Phone Brand & Model
Please note the following for a successful drop-off: (check the boxes below for acknowledgement)
*
Device(s) must NOT have damaged battery.
Device(s) must NOT be dismantled.
Submit
Should be Empty: