Positive Energy | Vape Disposal Service Form
This form is to be used for first time inquiries, existing customers and service requests only. For all other inquiries and changes, please contact us directly via email at positive_energy.info@recyclevapes.com or call 402-812-0499 during business hours. Currently only serving the Omaha/Council Bluffs Metro and surrounding areas.
Email
Phone Number
Address
First Name
Last Name
Tell us a bit about you and your organization!
New Client (retailer)
Existing client (retailer)
Schools & Universities
Recovery Facilities & Manufacturers
Other
How can we help you today?
Responding to Flyer or Sales Quote
Requesting a Pick-up (my bin is full)
Additional Services Needed
First Time Consultation
Interested In Bulk Pricing (multiple locations, school districts, events etc)
Billing/Other Service Requests
None of the Above
When is the best time to provide pick-up services or contact first time clients? (day & time)
Additional Comments, Questions or Feedback
Date
Your Signature
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