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4. Contact Name (First & Last)*
5. Organization*
7. Mailing Address of Organization*
8. Organization City, State & ZIP Code*
10. Phone Number (With Area Code)*
11. Email Address*
13. Event Address*
14. City, State & ZIP Code*
16. Event Date(s)*
    Event Date(s) Start Date

    —

    Event Date(s) End Date
17. Total Estimated Number of Attendees / Participants*
19. Please describe the event at which the containers will be used.*
21. If you would like the District to promote your event on social media, please provide your website and/or Facebook address.
23. What items will you collect for recycling?*

    1. Aluminum Cans
    2. Cardboard
    3. Glass Bottles
    4. Paper
    5. Plastic Bottles
    6. Other
24. Where do you plan to recycle the material collected?*

    1. Public Recycling Drop-Off Location
    2. Recycling Dumpster on Site
    3. Other
26. Other Material(s)

    Know What You Can Recycle

28. Drop-off Location or Other Location

    Public Recycling Drop-Off Locations

30. Date of Equipment Pick Up*
    Date of Equipment Pick Up
31. Date of Equipment Return*
    Date of Equipment Return
35. Clear-Tainer Container
    • Replacement Cost: $50 Each
    • Late Return Fee: $10 Per Day
    • Cleaning Fee: Up to $15 Each (If Needed)
    • Size: 40 by 25 by 18 Inches (Open), 40 by 25 by 3/4 Inches (Folded)
    • Weight: 12 Pounds
36. Number of Bottles & Cans Clear-Tainers Requested
37. Number of Compost Clear-Tainers Requested
41. Clear-Tainer Sign Holder
    • Replacement Cost: $15 Each
    • Late Return Fee: $2 Per Day
    • Cleaning Fee: up to $5 Each (If Needed)
    • Size: 22 by 21 Inches (Frame); 17 by 11 Inches (Sign)
    • Weight: 1.5 Pounds
42. Number of Clear-Tainer Sign Holders Requested
46. Clear-Tainer Transporter (Holds up to 20 Clear-Tainers)
    • Replacement Cost: $500 Each
    • Late Return Fee: $20 Day
    • Cleaning Fee: Up to $25 Each (If Needed)
    • Size: 36 by 23 by 44 Inches
    • Weight: 90 Pounds Empty (Not Including Weight of Clear-Tainers)
47. Number of Clear-Tainer Transporters Requested
Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field