eWaste

Name*

First NameLast Name
Email*
example@example.com
Phone*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Notes
How Did You Hear About Us?
Please select from the items below. If the item is not on this list, it will not be collected with this special E-Waste collection service.

Check the boxes below of items that you may have, please note we can only accept up to 7 items total.
PORTABLE ELECTRONICS

Cell PhonesPortable Digital Assistant (PDA)Portable Digital Music Players (MP3)Videocassette Recorders (VCR)
*Total quantity of items across all sections must add up to 7 or less, please adjust quantities of your selected items.
Cell Phone Qty
Please enter a number
PDA Qty
Please enter a number
MP3 Qty
Please enter a number
VCR Qty
Please enter a number
COMPUTER ITEMS

Computer CableComputers (desktop, laptop, netbook, notebook, tablet)Computer MonitorsElectronic KeyboardsElectronic MiceFacsimile Machines (Fax)PrintersScannersZip DriveOther
*Total quantity of items across all sections must add up to 7 or less, please adjust quantities of your selected items.
Computer Cable Qty
Please enter a number
Computer Qty
Please enter a number
Computer Monitor Qty* (See Note)
*Maximum of 2 monitors accepted
Computer Monitor Dimensions (Size)
Please enter size of monitor (e.g. 22-inch Computer Monitor)
Keyboards Qty
Please enter a number
Electronic Mice Qty
Please enter a number
Fax Qty
Please enter a number
Printers Qty
Please enter a number
Scanners Qty
Please enter a number
Zip Drive Qty
Please enter a number
Other Item Qty
Please enter a number
TV ITEMS

Television SetsCable ReceiversDigital Video Disc Players (DVD)Digital Converter BoxesSatellite Receivers
*Total quantity of items across all sections must add up to 7 or less, please adjust quantities of your selected items.
Television Set Qty* (See Note)
*Maximum of 2 TVs accepted
Television Set Dimensions (Size)
Please enter size of monitor (e.g. 32-inch TV)
*If you have a console TV, please call 773-685-8811 option 3 for specific guidelines
Cable Receivers Qty
Please enter a number
DVD Qty
Please enter a number
Digital Converter Qty
Please enter a number
Satellite Receivers Qty
Please enter a number
MISCELLANEOUS ITEMS

Small Scale ServersVideo Game ConsolesMicrowaveChristmas Lights
*Total quantity of items across all sections must add up to 7 or less, please adjust quantities of your selected items.
Servers Qty
Please enter a number
Video Game Consoles Qty
Please enter a number
*LRS will only collect up to 7 items per collection. Please review your selections and reduce to no more than 7 for this collection.
Number Of Devices
Qty Of Devices
Please review the following statements. In order to proceed, it is important we know you understand each of the following statements. Please check each box to indicate you understand.*

This service is designated for communities that have prearranged for it as part of the service offerings.Collection is for household E-Waste items only. Commercial or business electronics are not accepted.Items not reflected on the list of acceptable items will not be collected. Unacceptable items will be left behind.Once you click SCHEDULE PICK UP your request has been received and will be scheduled in accordance with the E-Waste schedule for your community.
Please include any additional questions here and someone will respond by email within 48 hours (excluding weekends and major holidays)
Should be Empty:

Please select from the items below. If the item is not on this list, it will not be collected with this special E-Waste collection service.