eCellular Recycling

Please fill out this form with some simple information and press the submit button at the end of the form. In order to get your free (pre-paid) shipping label and also to receive your payment. Thank You

Full Name:

Address

Street Address *

Address continued

City *

State *

Zip *

Please List the phone models separating them with commas.

Email Address *

Please select the method of payment for your cell phones. Gift cards will be mailed or emailed to the address that you give us on this form. Note: Paypal has a 3.5% transaction fee, which will be deducted from your payment. * PayPalCircuit City Gift Certificate $5.00 minimumBest Buy Gift Certificate $15.00 minimumStarbucks Coffee Gift Certificate $15.00 MinimumiTunes Gift Certificate $10.00 minimumEbay.com Gift Certificate $5.00 minimumAmazon.com Gift Certificate $5.00

Referrals

Who referred you?

Email Address(optional)

Thank you for recycling with E-C-R....

...Within 48 hours you will receive an email confirming that we received your form. In that confirmation email will be your free (pre-paid shipping label.

NOTE: By filling out the registration form you agree to the "terms and conditions" and "privacy policy" of this site. If you filled the for an error or if you want to void the transaction, please contact us and we will assist you.

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