Equipment Information
Type of Item(CPU etc) Number of Units / Pallets
Brand Name Model #
Processing Speed (CPUs) Amt of RAM
Size of Hard Drive CD ROM Drive
Brief Description of Item Including the Overall Condition
Your Information
Name Phone

Email Alt Phone
Pick Up Address Cross Streets
City Zip Code
Ramp/Elevator Available? Pick Up Date/Time

(Please provide two options)

Do you need a tax receipt