Post Consumer Recycling Information

Click here for Staging Requirements

Please complete the following form in order for your carpet to be picked up for recycling.

Sales Rep:
Sales Rep Account Number:
Sales Rep Contact Number:
Customer Name:
Customer Account Number or Acct. Number Where Replacement Carpet Was Ordered:
   
Square Yards Ordered:
Mill Order Number:
Mill Order Style Number:
Mill Order Style Name:
Mill Order Base price per Square Yard:
Square Yards Being Recycled
(minimum of 500sy or $1000):
Tile or Broadloom - if both please put approximate amounts of each: % Tile: % Broadloom:
What type of tile or broadloom is being recycled?

Type 6
Type 6.6

PVC
EcoWorx
   
Pick up date needed:
End Use Customer:
Pick up address:
  City:
  State:    Zip:
   
Pick up Contact Person:
Contact Person Phone Number:
Contact Person Fax Number: