Pick up Freight at (Use If Different from UPS Address)

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 ______