Projector Lamp Recycling Service Request

M-F 10am-5pm Eastern time

Recycling Service Request
RelampIt
50 Orville Drive
Suite 3
Bohemia, NY 11716
Phone: 1-631-244-0051
Fax: 1-631-244-0053

(* Required fields)

Product Information


Recycling Service	Quantity:
RelampIt Rep: (if applicable)
Notes/ Special Requests/ Details
* Please include a list of the make and models of the lamps in the box prior to shipping.

Box Information


* Box#1 Dimensions	x x
* Box #1 Weight	lbs
Box#2 Dimensions	x x
Box #2 Weight	lbs
Box#3 Dimensions	x x
Box #3 Weight	lbs

Contact Information

* Name:
Title:
* Company Name:
* (No PO boxes) Address 1:
Address 2:
* City:
* State:
* Zip Code:
* E-mail:
Phone:
Fax:
Website:
Recycling Documentation Requested?(Y/N)	Yes No
Preferred Method of Contact	e-Mail Phone


Estimated Recycling Forecast	Bi-Monthly Monthly Bi-Annually Annually Other: (explain)

"Please submit your information for ANY AMOUNT of projector lamps that you will be sending in for recycling. For those RelampIt clients who send in more than 5 lamps, RelampIt will use this information to email shipping labels to the requestor. For non-customers, it will be your responsibility to ship the lamps to us to take advantage of the complimentary lamp recycling. For those who do not wish to use this electronic recycling form, please download the PDF here and include it in the box with your lamps for recycle."