Please answer all questions to the best of your ability. Completed forms should be sent with cheques as noted below to the normal email address. A PDF version of this form is available here.
Please note that bending, stapling, mutilating, chewing or writing upon this form may inhibit the recycling process. Always consider the environment before acting unnecessarily.
Part 1 - Basic information
Your Address:
Part 2 - Recycling information
Present location:
Proposed location (if any):
Thank you for your interest