guide
Organization Name:
Address:
City:
State:
Zip Code:
Phone Number:
Fax Number:
Web page Address
Material Accepted: (List, if necessary use a continuation page)
Reusable Items for sale: (List, if necessary use a continuation page)
Tell Us About Your Organization ( )Profit
( )Nonprofit
If Nonprofit Please List Mission Statement:
Background Information: (Please Limit to Two Sentences)
Do you accept drop-offs or pick up merchandise:
( )Free Pick-Up ( )Charge to Pick-Up (
)Free Drop-Off ( )Charge to Drop-off
Drop-Off
Locations:
Phone Number to arrange Pick-Ups
( )