The Recycling Network - Place a service request

Customer information

Commodity information

Commodity: (Check all that apply)	Mixed paper White paper Cardboard Bottles/Cans Appliances Fluorescent lamps Other lighting Batteries Gypsum Pallets Wood Brick	Computers, Monitors, Other electronics Handheld electronics containing batteries Confidential documents Scrap metal Surplus furniture Mixed Debris Concrete Asphalt Ceiling Tiles Other (describe under Notes)
Quantities:	examples: “1 15 yard container”, “12 hampers”, “15 toters”, “25 beds and mattresses”
Notes or additional description (if needed):

Packaging

Are materials packaged and ready for pickup?

Yes No

Do you need IRN assistance with packing?

Yes No

Do you need replacement packing materials?

Yes No

If YES, indicate the quantities needed for each of these items:

Gaylord boxes
Pallets
4’ fiber drum
8’ fiber drum
2’ fiber box (for shaped fluorescents)
5g screw-top pail
55g steel drum
Other / Comments

Service information

When do you need service?
What time of day?
Notes or additional description (if needed):

Pickup information

Pickup location:
Any limitations on pickup?	example: “No loading dock”, “Materials held in basement”, “Materials loose, need to be packed”
Contact person for pickup (if different than above):
Phone:
Email:
Best time to reach contact:

New customer?

If this is your first service request with IRN, click here.