Container Pick Up Request

Customer Service
7:30 AM - 4:30 PM PT
800.406.9377
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Roundtrip^tm Collection System

Container Pick-Up Request.
Place your request below. When finished, press the submit button at the bottom.
You will see a confirmation that your order has been sent to Myers Container/CMS, LLC.
You will receive an e-mail confirmation accepting the order and/or scheduling the pick-up.

Before Proceeding Please following these instructions or indicate your Acceptance Status:

If you are a Long Term or New Emptier with a new material residue please complete Step 1 and 2 before filling out this form. Go to Drum Acceptance Fax _ Email Cover Sheet.doc.

Acceptance Status (Check &Proceed to Container Pick-Up Request):

Container Pick-Up Request

e-mail of person ordering
First Name
Last Name
Company
Phone Number

Pick Up Address
City
State
Zip Code

Billing Address
City
State
Zip Code

Purchase Order

Collection Code
Empty Certification	I certify that these containers are drip-dry empty and meet the Container and IBC Acceptance Policy and the IBC Acceptance Procedures and I am subject to the Heel Measurement System. I also understand that I am responsible for any charges associated with container disposal. Freight charges may apply.
Requested P/U Date Please allow at least 10 days for most pick-ups.
	Amount to Collect
IBCs to Collect
Steel Drums to Collect
Plastic Drums to Collect

Order Description/Comments:

You will receive a confirmation that the order has been placed and then you will receive an additional e-mail confirmation that Myers Container/CMS can accept the order. Any questions, please container RoundTrip Customer Service Center at 800.272.6202 or orders@myerscontainer.com

Empty Container Receiving Records (Print and send)

Revised: October 03, 2008.

Customer Service
800.406.9377
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