Welcome Shields Requests Select the form you require below. Collection RequestGaylord Request Shields Collection Request 1.Customer Name *Company Code (if required)2.Street Address *3.City *4.State *5.Zip *6.Contact Name at Pick-Up Location *7.Contact Number at Pick-Up Location *8.Contact Email Address *9.Pick Up Date *10.Facility Open Hours *11.Is a liftgate required? *YesNo12.Number of Pieces *13.Estimated Total Weight *14.Equipment Type e.g. Chassis, Modems, Hard Drives, Cable Boxes, PCB's, Etc15.Is the equipment dispositioned for resale, recycle, or both? *ResaleRecycleBoth16.Any Additional Information?Send Request Shields Gaylord Request Company Name *Company Code (if required)1.Number of Gaylords Requested *2.Delivery Street Address *3.City *4.State *5.Zip *6.Contact Name *7.Phone Number *8.Email9.Is there a loading dock or forklift at the delivery address? *YesNo10.Are there any delivery restrictions? (delivery hours, call ahead required, restricted location)Send Message
