e-Waste Consumer Buyback Program Please provide as much detail about your equipment trade-in as possible (Make, Model, Part Number, etc.) The more detailed information that we receive, the better prepared we are to offer the maximum value. Contact InformationCompany Name*Contact Name* Phone*Email* Preferred Contact Method* Phone Email Equipment InformationWhat is the Condition of the Equipment?*Please check all that apply New Used: Excellent Used: Good Used: Poor For Parts or Repair When Will Equipment Be Available?* Immediately 1-3 Months 3 months + How Will e-Waste Receive The Equipment? Freight (Truckload, LTL) Ground (UPS, FedEx, USPS) Customer Drop-Off Other Equipment List UploadEquipment List Upload (.CSV, .XLS, .XLSX, .DOC) Drop files here or Accepted file types: xls, xlsx, csv, doc, docx. Equipment Image Upload (.jpg, .gif, .png) Drop files here or Accepted file types: jpg, jpeg, gif, png. Verification Required: Please Input Security CodeNameThis field is for validation purposes and should be left unchanged.