Generator Direct Pick Up Request – ICIRP

Site ID Number*
(i.e.: GE1234)
Site Manager's Email*
Quantity of Containers*
Please enter a number greater than or equal to 0.
Real or Estimated
Special Instructions/Comments
Type of Container*
Preferred Pickup Date*
Date Format: MM slash DD slash YYYY
Consent*
By submitting this form, I confirm this pickup request and certify that all products submitted have originated in the province of Québec.*
Consent*
I understand that the following products are not accepted by the EPRA-Québec program:*
Floor-standing IT equipment (printers, copiers, multi-function devices, servers and other floor-standing devices)

Rack-mount servers

Electronic white boards

See the complete list of accepted products
Email
This field is for validation purposes and should be left unchanged.