LOCATIONS SIGN-UPS

We seek your Support in Replacing the

Present Trash Ordinance

No. 182986

I WOULD LIKE TO OFFER MY RETAIL / OFFICE FOR PETITION SIGN-UPS.

First Name *

Last Name *

Business Name *

Street Address for Petitions Sign Up Location. *

Address 2

We are Available for *

DROP OFFS ONLY

SIGN UPS ONLY

BOTH DROP OFFS AND SIGN UPS

What Hours are available for Petition? *

Contact Person *

Petition On site Contact Person *

City / Area *

Zip Code *

Publish this Phone Number or Office Number? *

Do NOT publish my Contact Phone Number *

EMAIL *

PLEASE COMMENT / INSTRUCTIONS *