All items with an asterisk are required

CONTACT INFORMATION

Contact Name *
Business Name *
Physical Address
City
State CA
Zip *
Telephone *
Fax
Type of Business
E-mail *


RECYCLING INFORMATION

Do you currently have a recycle program in place? *
Do you dispose of confidential material? *
Amount of paper estimated to recycle per month: LBS


What type of paper do you use? (Check all that apply)

Computer Printout (CPO) Coated Stock (Glossy)
White Ledger News Print
Color Ledger Office Files
Cardboard Other Types Not Listed


Any additional comments or questions:


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