Tell us about yourself:
*Required Field

What type of material do you have?

	How much? (optional)	Unit of Measure
Non-Ferrous Metals
Aluminum		Lb.
Copper Pipe or Wire		Lb.
Stainless Steel		Lb.
Brass		Lb.
Technology
Computer Monitors		Pcs. Lb.
Desktop Computers		Pcs. Lb.
Medical Equipment		Pcs. Lb.
Test Equipment		Pcs. Lb.
Lab Equipment		Pcs. Lb.
Servers		Pcs. Lb.
Industrial Materials
Lead Batteries		Pcs. Lb.
Generators		Pcs. Lb.
Transformers		Pcs. Lb.
Electric Motors		Pcs. Lb.
Radiators		Pcs. Lb.
What industry are you in?*		Manufacturing Transportation Government Technology Hardware Technology Software Education Utilities Retail Wholesale Services Financial Other
How do you prefer to be contacted?*		Phone E-mail Fax
Your Phone Number:*
Your e-mail:
Would you like to receive A&M e-updates about important recycling issues?*		Yes No
Additional Comments:
When should we contact you?*		Immediately 2 Days 1 Week 2 Weeks

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