HHW Request: Saturday, June 19th MORNING
Saturday
Email *
telephone *
first name *
last name *
We will notify you if by chance the time slot you have chosen is full. Slots allow for 15 customers per time frame. Please select time: *
Required
What Household Hazardous Waste items do you plan on bringing *
Required
If you will be bringing mattresses and/or box springs, how many will you be bringing?
If you could see any other item collected at our events, even on an occasional basis, what would that be?
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Charlevoix County. Report Abuse