ELECTRONICS RECYCLING REQUEST CONTACT INFORMATION First Name Last Name Email Department Phone EQUIPMENT INFORMATION Please fill out the appropriate section based on your equipement category: Desktop(s) Laptop(s) Printer(s) Monitors, Accessories (keyobards, speakers and mice) and Other Please email clasit@villanova.edu with any questions. Desktops Building(s) The building(s) where the equipment can be found. Room Number(s) The room number(s) where the equipment can be found. VU Tag(s) The five digit number on the assigned VU Tag (i.e. VUXXXXX). I need desktop data saved. Yes Yes No No Not Sure Not Sure Laptops Building(s) The building(s) where the equipment can be found. Room Number(s) The room number(s) where the equipment can be found. VU Tag(s) The five digit number on the assigned VU Tag (i.e. VUXXXXX). I need laptop data saved. Yes Yes No No Not Sure Not Sure Printers Please note that this form is not intended to be used for XSE leased Xerox Printers/Copiers. If your lease has expired on a specific leased device and it needs to be removed, please contact The XSE Group to have it picked up. Building(s) The building(s) where the equipment can be found. Room Number(s) The room number(s) where the equipment can be found. VU Tag(s) The five digit number on the assigned VU Tag (i.e. VUXXXXX). Monitors, Accessories and Other Building(s) The building(s) where the equipment can be found. Room Number(s) The room number(s) where the equipment can be found. VU Tag(s) - if any The five digit number on the assigned VU Tag (i.e. VUXXXXX). Please indicate if any item is over 20 lbs. * Each invidual item is under 20 lbs. Each invidual item is under 20 lbs. There is an item over 20 lbs. There is an item over 20 lbs. If any item is over 20lbs, please provide a description in the additional details field below. Please indicate the number of items: * Dept/Program Budget Number - REQUIRED * Items recycled through FMO require a budget number. Acknowledgement * Yes Yes By checking the box above, I acknowledge that the items for recycling are clearly marked. Additional Details If you have additional instructions for us, please enter them here. Submit
