Our site provides a pickup form to submit a request for material pickup. The form asks for the following information.

Explanation of Form Fields

Step 1 - Contact Information

  • First Name: (Required)
    Use this to enter your first name. This text input has a limit of 25 characters.
  • Last Name: (Required)
    Use this to enter your last name. This text input has a limit of 40 characters
  • Best Contact Number: (Required)
    Provide the telephone number at which we can contact you to discuss your pickup details. Please enter a 10 digit phone number.
  • Alternate Contact Number: (Optional)
    Provide the telephone number at which we can contact you to discuss your pickup details as a backup. Please enter a 10 digit phone number.
  • Email (Required)
    Use this to enter your email address. The email address must be a valid email address and properly formatted or an error will be returned. This text input has a limit of 75 characters.
  • Selection: (Required). Parts of the form will change depending upon which option you select.
    • I represent a business or organization
    • I am an individual

Step 2 - Address (for Businesses)

  • Business Name (Optional)
    If you represent an organization or company enter the name here. This is optional. This text input has a limit of 50 characters.
  • Business Address (Optional)
    Two lines are available to enter your address. Each line has a limit of 50 characters.
  • City (Optional)
    Please enter your city name. This helps us determine how your email will be routed within the CyclePoint network. This text input has a limit of 25 characters.
  • State (Optional)
    Please enter your state from the drop-down list. This helps us determine how your email will be routed within the CyclePoint network.
  • Zip (Optional)
    Please enter your zipcode.
  • Hours of Operation (Optional)
    Please identify when your organization is open for business.

Step 2 - Address (for Individuals)

  • Address (Optional)
    Two lines are available to enter your address. Each line has a limit of 50 characters.
  • City (Optional)
    Please enter your city name. This helps us determine how your email will be routed within the CyclePoint network. This text input has a limit of 25 characters.
  • State (Optional)
    Please enter your state from the drop-down list. This helps us determine how your email will be routed within the CyclePoint network.
  • Zip (Optional)
    Please enter your zipcode.

Step 3 - Material Information

This section provides information about the type and quantity of electronic material you would like us to pick up.

  • Material Description (Required)
    Provide detailed information about the type and quantitye of electronic material you would like for CyclePoint to pick up.
  • Is the material: (Optional)
    Please select all items that apply.
    • In a storeroom or closet?
    • Dispersed in rooms and offices?
    • On or near a loading dock?
    • Stacked on a palette?
    • Stacked on a pushcard?
    • Near a freight elevator?

Step 4 - Material Location

  • 2 options are provided (Required)
    The form changes depending upon which option is selected.
    • The material is located at the address provided in Step 2
    • The material is located elsewhere
  • When address is provided in Step 2
    • Special Considerations (Optional)
      Describe any special considerations that we should be aware of in scheduling a pickup of your electronics material.
  • When material is located in a different (or multiple locations)
    • Material Address (Required)
      Two lines are available to enter your address. Each line has a limit of 50 characters.
    • Material City (Required)
      Please enter your city name. This helps us determine how your email will be routed within the CyclePoint network. This text input has a limit of 25 characters.
    • Material State (Required)
      Please enter your state from the drop-down list. This helps us determine how your email will be routed within the CyclePoint network.
    • Material Zip (Required)
      Please enter your zipcode.
    • Special Considerations (Optional)
      Describe any special considerations that we should be aware of in scheduling a pickup of your electronics material. Or, if multiple locations for pickup required, please identify each additional location.

Step 5 - Material Location

  • How did you hear of CyclePoint
    You have 15 options to choose from:
    1. Print Ad
    2. Radio Ad
    3. Press Announcement
    4. Social Media
      1. Facebook
      2. Google+
      3. Twitter
      4. LinkedIn
    5. Collection Event
    6. Other
      1. Business Presentatin
      2. CyclePoint Customer Referral
      3. Neighboring Business Referral
      4. Internet Search Result / Link
      5. Internet Banner Link

Form Troubles?

Due to heightened security, it may be impossible for some people to send a message via our form. One of the main reasons for this is that you have "referrer logging" disabled on your browser or from your location (based on your mail server settings). If you get this error you will be presented with options.

If you cannot use our contact form, call us at 1-844-292-5376.