Name
*
First Name
Last Name
Email
*
example@example.com
Phone
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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South Carolina
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State
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.
PORTABLE ELECTRONICS
Cell Phones
Portable Digital Assistant (PDA)
Portable Digital Music Players (MP3)
Videocassette Recorders (VCR)
COMPUTER ITEMS
Computer Cable
Computers (desktop, laptop, netbook, notebook, tablet)
Computer Monitors
Electronic Keyboards
Electronic Mice
Facsimile Machines (Fax)
Printers
Scanners
Zip Drive
Other
TV ITEMS
Cable Receivers
Digital Video Disc Players (DVD)
Digital Converter Boxes
Satellite Receivers
TV Monitors
MISCELLANEOUS ITEMS
Small Scale Servers
Video Game Consoles
Please review the following statement regarding personal devices.
*
If you’re going to place devices that previously held personal data directly in front of your home, front stoop, or porch area - you are agreeing to allow an LRS representative to enter your private property to collect the item. Only items containing personal data will be collected from the front porch area. All other items must be placed curbside.
LRS strongly recommends wiping all personal data from devices such as laptops, computers, hard drives, external storage, and cell phones prior to placing out for collection.
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)
SCHEDULE PICKUP
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