Request Shipping Containers

Indicates a Required Field

Name:

Lab Name/Practice Name:

Address:

City:

State:

Zip Code:

Phone:

Fax:

E-mail:

Who currently processes your scrap?

Please select at least one quantity of the shipping container(s) you would like to receive:

	Blue Box (50900007) Dimensions: 7" x 5" x 2.75" Capacity: 5 lbs.		Pre-Addressed Mailer (50900002) Dimensions: 6" x 3" x .5" Capacity: 5 oz.


	Drumette (50900008) Dimensions: 8.3" x 7.5" Capacity: 15 lbs.		15-Gallon Drum (50900009) Dimensions: 16" high Capacity: 150 lbs.


	30-Gallon Drum (50900019) Dimensions: 30" high Capacity: 300 lbs.