Intake form

Help us serve you better

Name *

Email address *

What type of electronics are you recycling?

Please select at least one option.

Computers

Laptops

Mobile Phones

Tablets

Redbox Machines

Other

What is the condition of the electronics?

Do you require pickup services?

What is the quantity of electronics you wish to recycle?

Please provide your address for pickup (if applicable).

What is your preferred method of contact?

How did you hear about us?

Additional questions or comments

Please confirm that you are not a robot.

Sorry, we were not able to submit the form. Please review the errors and try again.

JAG3 Recycling