Please have the following information on hand, prior to completing the form below: 

1.  Shipper address and contact information
2.  # of pallets, pieces and total shipment weight (estimates are ok)
3.  Pictures of what is being shipped: 
        - Picture of open package showing contents (packaged per instructions but not closed)
        - Picture of "ready to ship" package with all labels visible (closed and ready to ship)
 
Shipper Information
 
 
 
Company*
 
 
 
Street Address: *
 
 
Street Address 2:
 
 
 
City*
 
 
State*
 
 
 
Zip Code*
 
 
 
 
First Name*
 
 
Last Name*
 
 
 
Email*
 
 
Phone Number*
 
 
 
 
 
 
Shipment Details
 
 
 
Shipment description (such as damaged defective or end-of-life batteries: : *
 
 
 
 
 
 
How many pallets do you have to ship? *
 
 
 
 
How many pieces (i.e., pails, drums, boxes) do you have to ship?*
 
 
 
 
What is the total weight (in pounds) that you are shipping? *
 
 
 
 
 
 
 
Please give at least three dates available for a pick-up. We do not schedule same day or next day pick-ups. 
 
 
 
Pickup hours: *
 
 
 
 
First date choice: *
 
 
 
 
Second date choice:
 
 
 
 
Third date choice:
 
 
 
 
 
 
 
Please upload picture of package showing contents (box still open): *
 
 
 
 
 
 
Please upload picture of closed container (labels visible) that is ready to ship: *
 
 
 
 
 
 
If this shipment is going to a location other than recycling (R&D analysis, warranty inspections), please complete the below:
 
 
 
Consignee Company:
 
 
 
Consignee Address:
 
 
Consignee Address 2:
 
 
 
Consignee City:
 
 
Consignee State:
 
 
 
Consignee Zip:
 
 
 
 
Consignee Name:
 
 
 
Consignee Email:
 
 
Consignee Phone:
 
 
 
 
 
 
Note: Turnaround time for generating a bill of lading (BOL) is 48 hours.