Recycling Pick Up Report - Secured Tech Solutions

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School / District Name *

Date *

How many different device types are you picking up? *

Example: MacBook Laptops and iPads = 2 Chromebook Laptops, MacBook Laptops, and iPads = 3

Layout

Device Description (1) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPad Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptop Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

2nd Device Info

Layout 2nd Device

Device Description (2) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPad Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptop Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

3rd Device Info

Layout 3rd Device

Device Description (3) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPad Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptop Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

4th Device Info

Layout 4th Device

Device Description (4) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPad Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptop Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

5th Device Info

Layout 5th Device

Device Description (5) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPad Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptop Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

6th Device Info

Layout 6th Device

Device Description (6) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPad Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptop Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

7th Device Info

Layout 7th Device

Device Description (7) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPad Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptop Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

8th Device Info

Layout 8th Device

Device Description (8) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPad Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptop Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

9th Device Info

Layout 9th Device

Device Description (9) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPad Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptop Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

10th Device Info

Layout 10th Device

Device Description (10) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPad Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptop Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

11th Device Info

Layout 11th Device

Device Description (11) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPads Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptop Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

12th Device Info

Layout 12th Device

Device Description (12) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPad Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptop Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

13th Device Info

Layout 13th Device

Device Description (13) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPad Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptops Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

14th Device Info

Layout 14th Device

Device Description (14) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPad Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptop Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

15th Device Info

Layout 15th Device

Device Description (15) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPad Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptop Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

16th Device Info

Layout 16th Device

Device Description (16) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPad Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptop Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

17th Device Info

Layout 17th Device

Device Description (17) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPad Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptop Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

18th Device Info

Layout 18th Device

Device Description (18) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPad Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptop Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

19th Device Info

Layout 19th Device

Device Description (19) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPad Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptop Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

20th Device Info

Layout 20th Device

Device Description (20) *

Number of Laptops - Apple MacBook *

MacBook Chargers? *

Yes
No

Number of iPads - Apple *

iPad Chargers? *

Yes
No

Number of Laptops - Chromebook *

Chromebook Chargers? *

Yes
No

Number of Laptops - Windows *

Windows Laptop Chargers? *

Yes
No

Describe Other *

Number of Devices - Other *

Are there chargers? *

Yes
No

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Fortville, IN 46040

Sales@SecuredTechSolutions.com
1-833-STS-1to1

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