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All fields in
red
are required
.
Name/Name of Organization:
Address
City:
/ State
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Other
/ Zip
Phone:
Contact Person:
Email**:
Select one of the organizations below to whom you would like to donate your recyclables to.
OR
If you would like to donate to an organization not listed above, please fill in the information below.
Thank you.
Name of Organization donating to:
Address of Organization:
City:
/ State
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Other
/ Zip
Comments or Questions?