UNICOR Online | Recycling | GREEN-FED II | For the State of Arkansas Only Request Form

PROJECT GREEN-FED For the State of Arkansas Only Request Form *Required Fields
	*First Name:
	*Last Name:
	*Address:
	*City:
	State:	Arkansas
	*Zip:
	*County:
	*Telephone:
	*E-mail:
*Box Size:		L xW xH
*Box Weight:		lbs.

*Approximately how many pieces of equipment are, or will be, involved?		Cell Phones Computers Fax Machines Laptops Monitors Peripherals Power Supplies Printers Other
*How did you hear about us?		What Agency? What Trade Show? Which Search Engine? What Website?
Please add any additional comments that you have concerning your equipment disposal needs.