Empty Cartridge Shipping Request

Please fill out the following form with your cartridge part numbers, and quantity of each that we will be picking up. Upon Receipt of your cartridges, with OUR PREPAID shipping label, we will send you a check or PayPal. Please use care in boxing and packaging of your cartridges. Damaged cartridges cannot be received.

    TONER CARTRIDGE PRICING


Contact and Mailing Information
First Name
Last Name:
Company: (Optional)
Email Address:
Mailing Address:
City:
State:
Zipcode:

Cartridge Part Numbers and Quantities
Cartridge 1 Part Number: Quantity:
Cartridge 2 Part Number: Quantity:
Cartridge 3 Part Number: Quantity:
Cartridge 4 Part Number: Quantity:
Cartridge 5 Part Number: Quantity:
Cartridge 6 Part Number: Quantity:
Cartridge 7 Part Number: Quantity:
Cartridge 8 Part Number: Quantity:
Cartridge 9 Part Number: Quantity:
Cartridge 10 Part Number: Quantity:

Payment Information
How do you want to be paid? Check Payable to:
PayPal Account Email:

Special Instructions/Notes
Your Comments are Welcome: