Pickup Request

Please complete the form below to receive a quote from RLGA.

All fields and sections are required unless they are noted as optional.

Requestor Information
Pickup Location Information #1
Equipments
Line# Description Units Pallet Weight(lbs)
1
2
3
4
5
6
7
8
9
10

Have Forklift

Have Loading Dock

Have Pallet Jack

Palletize and Shrink Wrap

Certificate of Destruction

Record Serial Number(s)

Data Wiping