Recycling Order Form

www.cleanlites.com | p. 513-641-4155

Containers
Site

ORDER TYPE

Pickup
Delivery

Welcome to the new Cleanlites Order form.
Once you fill this out, we will email you a copy of the PDF

BILLING INFORMATION

Billing Info

*We will send a copy of this form to this email.

GENERATOR INFORMATION

Generator is the Same as Billing

Generator Info

MATERIALS

Pick as many materials as you need. You can always come back and change your needs

I just need containers.

MATERIALS

Ballast

Ballasts

Capacitors

Other 1

Other 2

MATERIALS

Batteries

Nickel Cadmium

Nickel Metal Hydride

Alkaline

Zinc Carbon

Zinc Air

Lead Acid Dry Cell

Lead Acid Wet Cell

Mercury

Button Cell

Lithium

Lithium Ion

Magnesium

Co-Mingled

Other 1

Other 2

MATERIALS

eWASTE

Monitors

Keyboards

Hard Drives

Printers

Other 1

Other 2

MATERIALS

Haz / Other

HG Devices

Fixtures

Toners

Transformers

PCB Containing

Other 1

Other 2

Other 3

Other 4

MATERIALS

LAMPS

4ft & Under

8ft & Over

CFL

Incandescent

U-Bend

HIDs

LEDs

Other

MATERIALS

Specialty

Airbag Devices

Solar Panels

CONTAINERS

4ft Boxes 8ft Boxes

U-bend Boxes Cubic Yard Box

Small Batt Box 55 Gallon Drum Poly Drums

5 Gallon Pail Other 1 Other 2

I don't need any containers

REQUIRED INFO

ITEMS MUST BE SHRINK WRAPPED AND PALLETIZED

Site Details

Hours To

Pickup Details

Additional Options
(Select Multiple)

Items Palletized

Workers Available To Load

Lift Gate Needed

Pallet Jack Available

Site Has Loading Dock

Forklift Available

Other Comments

Add Up to 4 Files: