Request a Return Step 1 of 5 20% I am interested in:Please SelectSchedule Reclaim PickupReturn Empty CylindersDLA Cylinders Return Return Empty Cylinders # of Cylinders*Refrigerant Previously Found in Cylinder*SelectR11R12R13R13B1R14R22R23R113R114R116R123R124R134AR125R1234YFR245FAR236FAR-32R401AR401BR402AR402BR404AR407AR407BR407CR407FR408AR409AR410AR412AR414BR416AR417AR417CR421AR422AR422BR423AR427AR438AR448AR449AR450AR452AR500R502R503R507R508AR508BR513AR514A1233ZD1234ZESF6OtherCylinder Size*Select4.49101315202324252730507080828510011011512514515020063069080084085095010001200140017001750180020002200ISO containerRailcarOther bulk deliveryYour Purchase Order #*Note: If return consists of multiple PO or Invoice #s, please list above and separate by comma.Hudson Invoice #* Check Here to Add More # of CylindersRefrigerant Previously Found in CylinderSelectR11R12R13R13B1R14R22R23R113R114R116R123R124R134AR125R1234YFR245FAR236FAR401AR401BR402AR402BR404AR407AR407BR407CR407FR408AR409AR410AR412AR414BR416AR417AR417CR421AR422AR422BR423AR427AR438AR448AR449AR450AR452AR500R502R503R507R508AR508BR513AR514A1233ZD1234ZESF6OtherCylinder SizeSelect4.49101315202324252730507080828510011011512514515020063069080084085095010001200140017001750180020002200ISO containerRailcarOther bulk deliveryYour Purchase Order #Hudson Invoice # Check Here to Add More # of CylindersRefrigerant Previously Found in the CylinderSelectR11R12R13R13B1R14R22R23R113R114R116R123R124R134AR125R1234YFR245FAR236FAR32R401AR401BR402AR402BR404AR407AR407BR407CR407FR408AR409AR410AR412AR414BR416AR417AR417CR421AR422AR422BR423AR427AR438AR448AR449AR450AR452AR500R502R503R507R508AR508BR513AR514A1233ZD1234ZESF6OtherCylinder SizeSelect4.49101315202324252730507080828510011011512514515020063069080084085095010001200140017001750180020002200ISO containerRailcarOther bulk deliveryYour Purchase Order #Hudson Invoice #Total Number of Pallets*Company Name*Your Name* First Last Title*Email* Enter Email Confirm Email Pickup Address*Pickup Address Line 2City*State*SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Code*Phone* Schedule Reclaim PickupFirst Name*Last Name*Email* Company Name*Pickup Address*Address Line 2City*State*Zip Code*Phone*HAZMAT Contact Info*The telephone number of a person who is knowledgeable of the refrigerant's hazardous material and has comprehensive emergency response & incident mitigation information for that material.CHEMTREC NumberCustomer Number*30# Empty CylindersEmpty 30# Cylinders, lbs.30# Cylinders with Refrigerant30# Cylinders with Refrigerant, lbs.50# Empty CylindersEmpty 50# Cylinders, lbs.50# Cylinders with Refrigerant50# Cylinders with Refrigerant, lbs.125# Empty Cylinders125# Empty Cylinders, lbs.125# Cylinders with Refrigerant125# Cylinders with Refrigrant, lbs.240# Empty Cylinders240# Empty Cylinders, lbs.240# Cylinders with Refrigerant240# Cylinders with Refrigerant, lbs.1000# Empty Cylinders1000# Empty Cylinders, lbs.1000# Cylinders with Refrigerant1000# Cylinders with Refrigerant, lbs.Pallets*Pallets, lbs.Pick Up Date* Dock Hours (Optional)Is a Lift Gate Required?*YesNoNeed More Tags?*YesNoTotal Number of PalletsCylinders per PalletEstimated Total Shipping WeightAverage Gross Pallet WeightSpecial Instructions DLA Cylinders ReturnPickup Point of Contact Name* First Last DODAACHours of OperationEmail* Enter Email Confirm Email Pickup Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Total Quantity of PalletsQuantity of cylinders per pallet by NSN (*If NSN is unavailable, please provide gas type)Once we receive the above information, a prepaid BOL will be provided to return cylinders via third party carrier. Additional Comments (optional) This iframe contains the logic required to handle Ajax powered Gravity Forms.