E-Waste Management System
Intermediary Dashboard
I
Intermediary
Schedule Pickup
Manually schedule a waste pickup for a client.
Customer Information
Customer Name *
Phone Number *
Email Address (Optional)
Pickup Address *
City *
ZIP Code *
Device & Waste Details
Device Type *
Select Device Type
Laptop
Smartphone
Printer
Television
Audio Devices
Wearables
Peripherals
Other
Condition *
Working
Minor Issues
Broken
Parts Only
Brand
Model
Quantity
Est. Weight (kg)
Schedule Pickup
Pickup Date *
Time Slot *
Select Time Slot
09:00 AM - 11:00 AM
11:00 AM - 01:00 PM
01:00 PM - 03:00 PM
03:00 PM - 05:00 PM
05:00 PM - 07:00 PM
Additional Notes
Cancel
Confirm Pickup
E-Waste Management SystemE-Waste Management System