City :

Zip / Postal Code:

Country:

Number of Years in Business:



Equipment for ReuseEquipment containing circuit boards (computers, servers, printers, copiers)CRT Monitors / TVs or CRT GlassLCD Monitors / TVs and/or Mercury Containing EquipmentBatteries and / or UPSCircuit Boards / Processors / MemoryPlastics









YesNoN/A


YesNoN/A


YesNoN/A



YesNoN/A


















YesNoNA




YesNoNA


VH Tech