Empty Cylinder Return RequestPlease fill out and submit this form to request an empty cylinder return. If you have questions, please call 303-492-6369You must have JavaScript enabled to use this form.Indicates required field Contact Name (First and Last)Contact Phone #E-mailDepartmentBuildingRoom NumberCylinder Vendor Airgas OtherSpeedtype for shipping (we only need a speedtype if you are returning a non-Airgas cylinder)Cylinder TypeQuestionsAir, compressedArgon, compressedCarbon dioxideHelium, compressedNitrogen, compressedOxygen, compressedHydrogen, compressedGas, compressed NOSOther (please specify below)Cylinder 1 Air, compressed Argon, compressed Carbon dioxide Helium, compressed Nitrogen, compressed Oxygen, compressed Hydrogen, compressed Gas, compressed NOS Other (please specify below)Cylinder 2 Air, compressed Argon, compressed Carbon dioxide Helium, compressed Nitrogen, compressed Oxygen, compressed Hydrogen, compressed Gas, compressed NOS Other (please specify below)Cylinder 3 Air, compressed Argon, compressed Carbon dioxide Helium, compressed Nitrogen, compressed Oxygen, compressed Hydrogen, compressed Gas, compressed NOS Other (please specify below)Cylinder 4 Air, compressed Argon, compressed Carbon dioxide Helium, compressed Nitrogen, compressed Oxygen, compressed Hydrogen, compressed Gas, compressed NOS Other (please specify below)Cylinder 5 Air, compressed Argon, compressed Carbon dioxide Helium, compressed Nitrogen, compressed Oxygen, compressed Hydrogen, compressed Gas, compressed NOS Other (please specify below)Cylinder 6 Air, compressed Argon, compressed Carbon dioxide Helium, compressed Nitrogen, compressed Oxygen, compressed Hydrogen, compressed Gas, compressed NOS Other (please specify below)Cylinder 7 Air, compressed Argon, compressed Carbon dioxide Helium, compressed Nitrogen, compressed Oxygen, compressed Hydrogen, compressed Gas, compressed NOS Other (please specify below)Cylinder 8 Air, compressed Argon, compressed Carbon dioxide Helium, compressed Nitrogen, compressed Oxygen, compressed Hydrogen, compressed Gas, compressed NOS Other (please specify below)Cylinder 9 Air, compressed Argon, compressed Carbon dioxide Helium, compressed Nitrogen, compressed Oxygen, compressed Hydrogen, compressed Gas, compressed NOS Other (please specify below)Cylinder 10 Air, compressed Argon, compressed Carbon dioxide Helium, compressed Nitrogen, compressed Oxygen, compressed Hydrogen, compressed Gas, compressed NOS Other (please specify below)Cylinder 11 Air, compressed Argon, compressed Carbon dioxide Helium, compressed Nitrogen, compressed Oxygen, compressed Hydrogen, compressed Gas, compressed NOS Other (please specify below)Cylinder 12 Air, compressed Argon, compressed Carbon dioxide Helium, compressed Nitrogen, compressed Oxygen, compressed Hydrogen, compressed Gas, compressed NOS Other (please specify below)Cylinder 13 Air, compressed Argon, compressed Carbon dioxide Helium, compressed Nitrogen, compressed Oxygen, compressed Hydrogen, compressed Gas, compressed NOS Other (please specify below)Cylinder 14 Air, compressed Argon, compressed Carbon dioxide Helium, compressed Nitrogen, compressed Oxygen, compressed Hydrogen, compressed Gas, compressed NOS Other (please specify below)Cylinder 15 Air, compressed Argon, compressed Carbon dioxide Helium, compressed Nitrogen, compressed Oxygen, compressed Hydrogen, compressed Gas, compressed NOS Other (please specify below)Cylinder 16 Air, compressed Argon, compressed Carbon dioxide Helium, compressed Nitrogen, compressed Oxygen, compressed Hydrogen, compressed Gas, compressed NOS Other (please specify below)If other cylinder type, describe
