Schedule a Pickup Name * First Name Last Name Company Email * Phone (###) ### #### Service Site: * Kent (Total Reclaim) Seattle (EcoLights) Alaska (Total Reclaim/EcoLights) Portland (Total Reclaim/EcoLights) Spokane (Total Reclaim/EcoLights) Pick Up Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Please list any special instructions if they apply (stairs, parking, etc): Purchase Order or Contract Number (if applicable): Materials for Pick Up (please check all that apply): * Appliances Batteries Electronics HVAC Units 4 Light Bulbs Mercury-Containing Equipment Lighting Ballasts Refrigerants Other Please provide brief descriptions including volume of the materials for pick up: Thank you for contacting us. A sales representative will be in touch with you soon.