Upload
vodiep
View
216
Download
2
Embed Size (px)
Citation preview
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