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 VendorÌýAirgasÌýOtherSpeedtype 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 1ÌýAir, compressedÌýArgon, compressedÌýCarbon dioxideÌýHelium, compressedÌýNitrogen, compressedÌýOxygen, compressedÌýHydrogen, compressedÌýGas, compressed NOSÌýOther (please specify below)Cylinder 2ÌýAir, compressedÌýArgon, compressedÌýCarbon dioxideÌýHelium, compressedÌýNitrogen, compressedÌýOxygen, compressedÌýHydrogen, compressedÌýGas, compressed NOSÌýOther (please specify below)Cylinder 3ÌýAir, compressedÌýArgon, compressedÌýCarbon dioxideÌýHelium, compressedÌýNitrogen, compressedÌýOxygen, compressedÌýHydrogen, compressedÌýGas, compressed NOSÌýOther (please specify below)Cylinder 4ÌýAir, compressedÌýArgon, compressedÌýCarbon dioxideÌýHelium, compressedÌýNitrogen, compressedÌýOxygen, compressedÌýHydrogen, compressedÌýGas, compressed NOSÌýOther (please specify below)Cylinder 5ÌýAir, compressedÌýArgon, compressedÌýCarbon dioxideÌýHelium, compressedÌýNitrogen, compressedÌýOxygen, compressedÌýHydrogen, compressedÌýGas, compressed NOSÌýOther (please specify below)Cylinder 6ÌýAir, compressedÌýArgon, compressedÌýCarbon dioxideÌýHelium, compressedÌýNitrogen, compressedÌýOxygen, compressedÌýHydrogen, compressedÌýGas, compressed NOSÌýOther (please specify below)Cylinder 7ÌýAir, compressedÌýArgon, compressedÌýCarbon dioxideÌýHelium, compressedÌýNitrogen, compressedÌýOxygen, compressedÌýHydrogen, compressedÌýGas, compressed NOSÌýOther (please specify below)Cylinder 8ÌýAir, compressedÌýArgon, compressedÌýCarbon dioxideÌýHelium, compressedÌýNitrogen, compressedÌýOxygen, compressedÌýHydrogen, compressedÌýGas, compressed NOSÌýOther (please specify below)Cylinder 9ÌýAir, compressedÌýArgon, compressedÌýCarbon dioxideÌýHelium, compressedÌýNitrogen, compressedÌýOxygen, compressedÌýHydrogen, compressedÌýGas, compressed NOSÌýOther (please specify below)Cylinder 10ÌýAir, compressedÌýArgon, compressedÌýCarbon dioxideÌýHelium, compressedÌýNitrogen, compressedÌýOxygen, compressedÌýHydrogen, compressedÌýGas, compressed NOSÌýOther (please specify below)Cylinder 11ÌýAir, compressedÌýArgon, compressedÌýCarbon dioxideÌýHelium, compressedÌýNitrogen, compressedÌýOxygen, compressedÌýHydrogen, compressedÌýGas, compressed NOSÌýOther (please specify below)Cylinder 12ÌýAir, compressedÌýArgon, compressedÌýCarbon dioxideÌýHelium, compressedÌýNitrogen, compressedÌýOxygen, compressedÌýHydrogen, compressedÌýGas, compressed NOSÌýOther (please specify below)Cylinder 13ÌýAir, compressedÌýArgon, compressedÌýCarbon dioxideÌýHelium, compressedÌýNitrogen, compressedÌýOxygen, compressedÌýHydrogen, compressedÌýGas, compressed NOSÌýOther (please specify below)Cylinder 14ÌýAir, compressedÌýArgon, compressedÌýCarbon dioxideÌýHelium, compressedÌýNitrogen, compressedÌýOxygen, compressedÌýHydrogen, compressedÌýGas, compressed NOSÌýOther (please specify below)Cylinder 15ÌýAir, compressedÌýArgon, compressedÌýCarbon dioxideÌýHelium, compressedÌýNitrogen, compressedÌýOxygen, compressedÌýHydrogen, compressedÌýGas, compressed NOSÌýOther (please specify below)Cylinder 16ÌýAir, compressedÌýArgon, compressedÌýCarbon dioxideÌýHelium, compressedÌýNitrogen, compressedÌýOxygen, compressedÌýHydrogen, compressedÌýGas, compressed NOSÌýOther (please specify below)If other cylinder type, describe
