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Schedule

Schedule Pick Up / Service Request

A REPRESENTATIVE WILL CONTACT YOU WITHIN 24 HOURS TO CONFIRM AVAILABILITY AND LOGISTICS PLANNING.

PICKUP FORM

If you would like to schedule a pick up or service request with us, fill out the form below and one of our staff members will get back to you shortly.












    FIRST NAME*

    LAST NAME*

    COMPANY*

    PHONE*

    EMAIL*

    REQUESTING SERVICE IN*

    DATE (Use format: 2021-01-31)*

    TIME SLOT*

    ADDITIONAL INFORMATION:

    SITE REQUIREMENTS (select all that apply)*
    Bring additional LaborCertificate of InsuranceMasonite/Floor ProtectionParking or Loading Dock RestrictionsJob Invloces Multiple Floor (elevator access required)

    ©2021 AmpleTech Refresh

    Electronic Recycling Service in Phoenix