PAYING UP TO $20 FOR CELL PHONES, INKJETS, LASER, AND FAX CARTRIDGES

Reduce · Reuse · Recycle

Printer Cartridge and Cell Phone Recycling Program and Fundraiser. Please use this form to register and order free supplies to start a new program, or reorder free supplies for an existing program.

Fields with an asterisk * must be filled

First name*		REORDER
Last name*		NEW ACCOUNT
Email
	Ship To:	If different than shipping Send Payment To:
Business name
Attention:
Address 1*
Address 2
City*
State
Country
Zip*
Phone*
Fax
	Contact info has changed Yes No

Qty	Order Item
		Laser Collection Boxes (Holds 12 or more qualifying cartridges and comes with a free shipping label) *MINIMUM OF 12 QUALIFYING CARTRIDGES PER BOX REQUIRED FOR PAYMENT
		Free Shipping Label (Use your own box, we'll pay the shipping, include 12 or more qualifying laser cartridges and earn a bonus of $.50 per unit in addition to the posted price) *MINIMUM OF 12 QUALIFYING CARTRIDGES PER BOX REQUIRED FOR PAYMENT
		Inkjet/Cell Phone Recycle Bags - Comes in packs of 50 bags (Postage-paid mailing bags for recycling inkjets or cell phones) *MINIMUM OF 3 QUALIFYING CARTRIDGES PER BAG REQUIRED FOR PAYMENT
		Inkjet/Cell Phone Collection Box (Postage-paid collection box for recycling inkjets or cell phones, holds up to 25 inkjets)
		Dispenser For Inkjet Bags (Holds up to 100 mailers)
		School Flyers - English
		School Flyers - Spanish
Yes No	Informational CD - CD ROM containing flyers, signs, posters, and other materials for your recycling program (select the button to order)
Any Other Comments