GatorTec Trade-In/Recycle

Authorization Form

Customer Name Customer Name * First Last
Customer Address Customer Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Customer Phone Customer Phone * - ### - ### ####
Customer Email *
Device 1

Please fill in all information about the device you are recycling or trading in.
Manufacturer

Manufacturer Apple Other Other
Apple Model
Serial Number
Other Model
Trade-In/Recycle *

Trade-In/Recycle Recycle Trade-In Value Trade-In Value
PowerON Order
By signing below, I acknowledge and agree that I am trading in or recycling the items listed and am authorized to do so. Items traded or recycled are held for up to 24 hours prior to disposal. After that period, I wave all rights and claim to the items.

I further understand and agree that GatorTec is not responsible for, nor in any event liable for the security, confidentiality, or purging electronics data from items which I have brought in for recycling or trade. Items holding electronic data may include but are not limited: computer hard drives, iPods, iPhones, iPads, external hard drives, memory devices, CD’s or DVD’s, floppy disks, and similar items.

I understand and acknowledge that it is my sole responsibility to ensure that my personal or business data is destroyed prior to submit in items for trade or recycling.
Printed Name: *
Draw your signature into the box below. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
GatorTec employee who accepted device: *

GatorTec Trade-In/Recycle

GatorTec Trade-In/Recycle

Device 1