Akron Recycling Center Cartridge Buy Form 526 South Main Street, Suite 509 Akron, OH 44311 For your convenience, use this form to sell your Phone: (330) 237-8000 cartridges. Fill out the top part of the form, and then indicate the Fax: (330) 237-8003 quantities you have available next to the cartridge type. Email: [email protected] Fax the form to Akron Recycling Center at (330) 237- Web Page: www.AkronRecyclingCenter.com 8003, and enclose a copy with your shipment.

Company ______How did you hear about us? (for new clients) Contact ______Date of Buy ______Date of Pickup ______

Send UPS Overnight Letter To: ______?Magazine of Pieces ٱNumber Bundles ٱ Boxes ٱ Skids ٱ Fax Blast ٱ ______Address Trade Show ٱ City______State______Zip______Are you? New Client ٱ ExistingOutbound Client Phone Call ٱ ______Telephone______Fax Web Page ٱ Other Dealer/Collector ٱ ______(Individual (specify ٱ Cash ٱ Company ٱ :Check Payable To ______Other ٱ Pick Up Freight At (if different from UPS address):

Address______Special Requirements / Notes: ______City______State______Zip______Telephone______Fax______

Cartridge Type Quantity Cartridge Type Quantity ______

Salesman Code ______Commission Totals ______