Request a Free UPS Label for Donations

Name

Please enter your first name.

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Surname

Please enter your last name.

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Email

Please provide a valid email address for correspondence.

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Address

Enter your street address where the label should be sent.

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City

Please enter your city.

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State

Select your state from the dropdown.

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Zip code

Enter your ZIP code.

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Number of reusable devices

Enter the number of reusable devices you wish to donate.

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Are all devices functional and less than 7 years old?

Select yes or no.

Yes

No

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Describe your donation

Provide any additional information about your donation.