REQUEST FORM
Your MPS Account Manager: Sam Averbuch 773-426-9999
Date
SELLER COMPANY NAME
SELLER Location:
SELLER REPRESENTATIVE :
SELLER Reps direct phone #:
SELLER Reps email
Scrap Metal Product:
Aluminum (type, alloy and/or form)
Brass (type, alloy and/or form)
Copper (type, alloy and/or form)
Lead (type, alloy and/or form)
Magnezium (type, alloy and/or form)
Nickel (type, alloy and/or form)
Precious (type, alloy and/or form)
Stainless (type, alloy and/or form)
Steel (type, alloy and/or form)
Titanium (type, alloy and/or form)
Zinc (type, alloy and/or form)
Other (type, alloy and/or form)
Please Check if this applies to your firm:
Does your firm haul the Scrap Metal to a Scap Metal Processor
Does Buyer complete and "Onsight Pick Up"
Is your scrap Metal Already Weighed
Is the Scrap Metal from a Demolition
If the Scrap Metal is a Mixed Metal combination, for example, partly contaminated alumoinum with stell shavings -
Please describe
If Wet
If Dry
If Contaminated and can be manually seperated
Clean and needs
Oversized and needs onsight cutting
Cars and additonal work is required
Reusable products may be
Other
Scrap Metal Processing Needs:
Scrap Metal Briquetters Bailing
Storage Solutions ChipSystems Loose
Other Processing needs or equipment needed
Scrap Metal Sellers Frequency (not optional):
Volume/Frequnecy of Scrap Metal: Per Month
Who is your Firm currently Selling to:
Current Broker to help you sell:
We need this information to make sure we can properly bid on the Metal with out violating any exclusivity agreements.
Last Current Price Quote:$
Amount of Scrap Metal Sold per/mo
Please list on a seperate page other Buyers, Price Quotes and Frequency of Delivery.
NOTES: Please summarize your current operation and scrap metal needs.
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