Pallet-Load Recycling Supplies Order Form

Please fill out Order Form and we will follow up with you on your final Supply Cost.

Date:   (MM/DD/YYYY)   WM Rep Name or ID:
 
SHIP TO:   BILL TO: Same as Generator Not Same
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P.O. #:
*Submitter's Name:
 
*BUSINESS NAME:
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Qty Item Cost Description Typical Usage
B24 $40.00 Bundle of 10 two foot 24”x24”x24” lamp boxes each box holds 48 t-12 utubes or 80 400w HID bulbs
B48 $40.00 Bundle of 10 four foot 8”x8”x48 lamp boxes each box holds 64 t-8 lamps
B96 $75.00 Bundle of 10 eight foot 7.5”x7.5”x96” lamp boxes each box hold 56 t-8
SD55 $75.00 55 Gallon UN1A2 Steel Drum open head steel drum w/lid, reconditioned, holds ballasts/batteries
GB424242 $25.00 42x42x42 Ballast Gaylord 750 Fluorescent Ballast (non-pcb only)
GE424242 $25.00 42x42x42 E-Scrap Gaylord Computers and e-scrap
Special Instructions


Please complete the Order Form and press submit




 
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