Company/Organization Name:*
Address:*
City:*
State:*
Zip Code:*
Phone Number:*
Email Address:*
Does your company/organization have multiple locations that will need battery recycling services? Yes No
Would you be interested about receiving information about Interstate Batteries Fully Indemnified Recycling Program? Yes No
Select Battery Type
Automotive & Seal Lead-Acid (SLA) Number Pounds
(per Battery)
Automotive Battery
Alarm Battery
Golf Cart Battery
Motorcycle Battery
Other Vehicle Type Battery
Sealed Lead Acid Battery
Valve Regulated Lead-Acid (VRLA)
Absorbed Glass Mat (AGM)
Back Up Power Battery
Emergency Lighting Battery
Sump Pump Battery
Industrial Batteries
Motive Power
Telecom Battery
Jar Battery
Forklift Battery
Back Up Power Supply (UPS)
Railroad Battery
Aviation Battery
House Hold Batteries
Rechargeable
Button Cells
Other
Absolyte Batteries
Ni-Cad Batteries
Please fill out the above information to the best of your abilities