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Contact Information
Name
*
First Name
Last Name
Organization/Business Name
*
Email
*
Verify Email
*
Phone
*
Drop off Site Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Promotional Materials
*
Please mark the type of promotional materials you would like to use to advertise your collection site
Facebook graphics
Instagram Graphics
Signage/posters
None
Will you need collection bins?
*
We will drop off collection bins and pick them up at the end of the drive.
select one
Yes
No
Other Information
Is there anything else we need to know about dropping off bins, your collection site, contact information, etc?
