Schedule Clarendon Hills E-Waste Pickup Form

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
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 PhonesPortable Digital Assistant (PDA)Portable Digital Music Players (MP3)Videocassette Recorders (VCR)
COMPUTER ITEMS

Computer CableComputers (desktop, laptop, netbook, notebook, tablet)Computer MonitorsElectronic KeyboardsElectronic MiceFacsimile Machines (Fax)PrintersScannersZip DriveOther
TV ITEMS

Cable ReceiversDigital Video Disc Players (DVD)Digital Converter BoxesSatellite ReceiversTV Monitors
SMALL CORDED HOUSEHOLD APPLIANCES

BlendersMicrowavesToastersAlarm ClocksHair Dryers
MISCELLANEOUS ITEMS

Small Scale ServersVideo Game Consoles
Notes
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 offeringsCollection 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.