Freight Pickup Worksheet

Upload your equipment list OR fill out the equipment fields below

Upload equipment list (PDF, Word, Excel)

Please indicate how much equipment is to be shipped

(Not required if equipment list was uploaded above)

DESCRIPTION

# OF UNITS

Computer

Server

Laptop

Docking Station

Router / Switch / Modem

Battery Backup / Power Supply

DESCRIPTION

# OF UNITS

LCD Monitor

CRT Monitor

Printer

Copier

Misc. Boxes (cables, keyboards, mice)

Any equipment not listed above? Please indicate type and quantity.

How will we receive your equipment? *

Inside Pickup: We send our crew to remove loose equipment. Pickup: You pack and wrap. We send a truck to pick up equipment. Self-Ship: You pack equipment and ship to us.

Please choose three potential pickup dates:

Preferred date 1 *

Preferred date 2 *

Preferred date 3 *

Location of equipment and floor? *

Freight elevator / passenger elevator / stairs? *

Is there a loading dock? *

Yes No

Dock hours? *

Dock instructions/restrictions *

Is a Certificate of Insurance (COI) required by the building? *

Yes No

Building access instructions/restrictions *

Parking instructions/restrictions *

Please choose three potential pickup dates:

Preferred date 1 *

Preferred date 2 *

Preferred date 3 *

Hours open for pickup *

Number of pallets? *

Dimensions (L x W x H) for each pallet. Include weights if possible. *

Location of pallets? *

Is there a loading dock? *

Yes No

Dock hours? *

Dock restrictions / instructions *

Parking restrictions / instructions *

On-site contact name *

On-site contact phone *

On-site contact email *

Number of pallets ready to ship? *

IMPORTANT: You must receive a PCD# before shipping your equipment.

Shipping Info:

PCdisposal.com
400 New Century Parkway
New Century, KS 66031
Contact: Sara Anthony
sara@pcdisposal.com
913-406-416

If you would like to store your account information for easy retrieval on your next order, enter a login name and password:

PCD Freight Pickup Worksheet

If you are looking for pricing information, please fill out our contact form before completing this worksheet.

Account Login

Contact Information

Pickup Address

Billing Address

Services & Inventory

Upload your equipment list OR fill out the equipment fields below

Please indicate how much equipment is to be shipped

How Will We Receive Your Equipment?

Please choose three potential pickup dates:

Please choose three potential pickup dates: