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Recycling Information Form
 
To better serve you, please complete and submit this form.
About Your Company
 
*Company Name:
*Company Address at Your Location:
 
*City
*State
*Zip
   
Primary Contact Person
 
*Name:
Title:
*Phone Number:
Fax Number:
Email Address
   
*Contact Preference
 
Email
Phone
Best Time To Call:
   
*Your Type of Business
 
Manufacturing
Distribution
Warehousing
Packaging
Other (Describe)
   
About Your Recyclables
 
*What type of materials do you generate in your waste stream? (Check all that apply)
Plastic
Paper
Cardboard
Other (Describe)
 
*What type of plastics? (Check all that apply)
Stretch Wrap
Bubble Wrap
Foam
Bags
Pallets
Drums
Buckets
Containers
None
Other (Describe)
 
 
About Your Quantities
 
What is your volume of waste per month? lbs.
What is your volume of plastic waste per month? lbs.
   
*Current Situation
 
Are you recycling now?   Yes No
Do you have a bailer at your facility?   Yes No
       
Contaminants
 
*If you were to recycle your plastic, what contaminants would it contain? (Check all that apply)
None
Paper
Dirt
Wood
Glass
Oil
Food
Other (Describe)
Not Applicable
 
 
Your Costs
 
What are your approximate disposal costs per month?
   
Special Requests