E-Z Quote

Our E-Z Quote® service makes doing business with us fast and convenient. Its purpose is to streamline your time frame and take care of your needs immediately.

* indicates a required field

First Name*:

Last Name*:

Job Title:

Company*:

Address:

City:

Prov.State:

Zip Code:

Country:

Phone Number*
- Ext.

Fax Number*:

E-Mail Address*:

Dry Cell Types	Estimated #lbs.	#Drums	#Pails
Lead Acid
Alkaline
Nickel Cadmium/Hydride
Mercury
Lithium
Lithium Ion
Button Cells
Mixed Batch
Grand Total

Are containers shrink-wrapped to pallet?

Yes No

Wet Cell Types	Estimated #lbs.	#Drums	# Pails	#Pallets
Zinc Carbon Air
Zinc Carbon Air w/Mercury
Nickel Cadmium/Iron
Lead Acid
Mixed Batch
Grand Total

Are containers shrink-wrapped to pallet?

Yes No

*Pickup Location of Batteries*
Company:	Address:
City:	Prov./State:
Zip Code:	Contact Person:
Tel #:	Pickup Date:
Loading Dock Available? Yes No	Need Pallet Jack? Yes No
Fork Lift Available? Yes No	Shipping: Your Truck Our Truck
Comments:
*Optional Information*:
# Pounds of Batteries Recycled Monthly: or
# Pounds of Batteries Recycled Quarterly:

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