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Quantity *Price based on information given plus service fee 3237 US Hwy 19, Cochranton, PA 16314 ph. 814-425-7773 fax. 814-425-3201 email: [email protected] From household waste to electronics, ECS&R handles it. Complete this simple Collection Guide and ECS&R will provide a cost effective option for disposal. Electronics Inventory/Items Size Size Size Size Size Size Size Size Size Size Size 17" 19" 21" 26" 32" 37" 42" 42" 46" 48" 50" 52" 55" 60" 12" 14" 19" 21" 24" 27" 30" 32" 36" Name Street City State Zip Code MISC Items QTY Type QTY Type QTY Type Chemical Inventory/Items QTY Size QTY Size QTY Size 50" SIGNATURE Phone Number TOTAL

Price based on information given plus service fee - ECSRecsr.net/wp-content/uploads/2016/01/PointPack.pdf · From household waste to electronics, ECS&R handles it. Complete this simple

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Page 1: Price based on information given plus service fee - ECSRecsr.net/wp-content/uploads/2016/01/PointPack.pdf · From household waste to electronics, ECS&R handles it. Complete this simple

Quantity

*Price based on information given plus service fee

3237 US Hwy 19, Cochranton, PA 16314 ph. 814-425-7773 fax. 814-425-3201 email: [email protected]

From household waste to electronics, ECS&R handles it. Complete this simple Collection Guide and ECS&R will provide a cost effective option for disposal.

Electronics Inventory/Items

SizeSizeSizeSizeSize

SizeSizeSizeSizeSizeSize

17" 19" 21" 26" 32" 37" 42"42" 46" 48" 50" 52" 55" 60"12" 14" 19" 21" 24" 27" 30" 32" 36"

Name

Street

City State Zip Code

MISC Items QTY Type QTY Type QTY Type

Chemical Inventory/Items QTY Size QTY Size QTY Size

50"

SIGNATURE

Phone Number

TOTAL