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2. First Name*
3. Last Name*
5. Email Address*
6. Phone Number*
8. School or Business Name*
10. If this request is for a business, what type is it?
12. Address
14. City
15. State
16. Zip
20. Comments or Questions
22. Does your school or business currently recycle?

    1. Yes
    2. Cardboard Only
    3. No
23. What type of service do you have?

    1. Our own container
    2. We share a container with other tenants
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25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

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