THE BCE DRIVER CANNOT ACCEPT COUNTY SIGN ITEM(S) UNTIL …
This form is completed online and affixed on top of each applicable pallet and/or
each individual loose sign, for proper identification upon delivery.

Date*Pick

Customer Name*

Billing Information

Customer Number (as assigned by BCE)*

Address*

City* State* Zip*

Contact Person*

Phone Number* Email*

Pick Up Information (Location of Skids)

Building Name*

Same as Billing Address

Address*

City* State* Zip*

Same as Billing Contact

Contact Person*

Phone Number* Email*

Quantity of Skids* If quantity is zero, please type (0) in the field.
and/or Quantity of Loose Signs* If quantity is zero, please type (0) in the field.
Earliest Date Available for Pick Up*Pick
Days Pick Up Location is Open* Mon. Tues. Wed. Thurs. Fri. Select all that apply.
Pick Up Hours of Operation* to Please enter time in hh:mm format. e.g. 11:00 am, 3:00 pm.

Select One *Recycling Credit Hydro-Strip Only and Return Blanks

Important Pick Up notes