Online Order Form - Cleanlites Recycling

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Online Order Form

Cleanlites Recycling Order Form

usasales@cleanlites.com
1-888-826-9128

- Billing Company*
- Address*
  Street Address City State ZIP Code
- Contact Name*
- Phone Number*
- Fax Number
- Please Select One*
  - Pickup
  - Drop Off
  - Container Order Only
- Generator*
  
  (if same as billing company just put "same")
- Address
  Street Address City State ZIP Code
- Contact Name
- Phone Number
- Your Email*
- PO # (if applicable)
Materials for Recycling
- Lamps Boxes / Each
- 4ft. & under Fluorescents
- 8ft. & under Fluorescents
- Compact Lamps
- Incandescent
- U-Bent Lamps
- HID Lamps
- Other Lamps
- Computer / Electronics Quantity
- Monitors
- Keyboards
- Hard Drives
- Printers
- Other Electronics
- Ballasts / Capacitors Quantity
- Ballasts
- Capacitors
- Mercury Devices Quantity
- Mercury Devices
- Lighting FixturesQuantity
- Lighting Fixtures
- Toners / CartridgesQuantity
- Toners / Cartidges
- Other Describe
- Other
- Other
- Batteries Each / lbs.
- Nickel Cadmium
- Nickel Metal Hydride
- Alkaline Batteries
- Zinc Carbon Batteries
- Zinc - Air Batteries
- Lead Acid Dry Cell
- Lead Acid Wet Cell
- Mercury Batteries
- Silver Oxide (Button Cell)
- Lithium Batteries
- Lithium Ion Batteries
- Magnesium Batteries
- Co-Mingled Batteries
- Other (Describe)
- Other (Describe)
Containers Needed (please enter quantity needed)
- 4ft. Boxes
- 8ft. Boxes
- U-Bend Boxes
- Gaylords
- Battery Box
- 55 Gallon Drums
- 5 Gallon Pails
- Other
Site Information (please select correct response)
- Receiving Hours
- Return any Crates?
  - Yes
  - No
- Loading Dock
  - Yes
  - No
- Lift Gate Required?
  - Yes
  - No
- Pallet Jack
  - Yes
  - No
- Workers Available?
  - Yes
  - No
- Forklifts Available?
  - Yes
  - No
- Items Palletized
  - Yes
  - No
- Number of Pallets
- Estimated Total Weight
  Giving the estimated weight will help our representatives schedule the right truck for your needs.
Directions / Special Instructions
- Directions / Instructions
  Please include any additional important information about this order. If there are special instructions for shipping/receiving this is where to put them.
- Height Restrictions
- File
  Drop files here or
  Accepted file types: jpg, gif, png, pdf.
  If you have special items or items you may have questions about, please upload a picture.
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Cleanlites Recycling

Dedicated to protecting our customers and the environment for over 25 years.

Contact Us

Contact

Our team is available Monday - Friday

Tel: 800 - 778 - 6645

Email: USAsales@Cleanlites.com

Hours: 7:00 - 4:00

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