Disposal Services Submission Form
Disposal Drop Off Location
*
Green Network
BoxQ
Client Name
*
Ticket #
*
My Products
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( X )
PC's, Laptops, Monitors, UPS, Networking Gear
$
10
Quantity
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Hard Drive Destruction
$
10
Quantity
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Labor and Travel Time (1 hour minimum)
$
115
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Total
$
0.00
Additional Notes
Technician Name
First Name
Last Name
Technician Email
example@example.com
Submit Order
Should be Empty: