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North America E-Recycling Form Request

Please fill out the following information completely and click [Submit] when done.

If your state is not listed below, please contact Wyse at erecycling@wyse.com

* Indicates a required field.
Your State: *
Your Information:
Your Company Name: *
Address: *
Address:
City: *
Postal/Zip Code: *
Country: *

Primary Contact:
Name: *
Email Address: *
Telephone: *
Fax:

Shipment Information:
Number of packages: *
Package Weight: lb *
Note: If total weight per shipment exceeds 150 lbs, please create a additional shipment


 Qty:  Thin Clients

 Qty:  Monitor/ LCD


 Qty:  Keyboard

 Qty:  Mouse


 Qty:  Power Adapter

 Qty:  Other