Household Hazardous Waste Collection Questionnaire
2018 Season
Which household hazardous waste collection date are you attending?
Name:
Your answer
Street Address: *
Your answer
City/Town *
Required
Zip: *
Your answer
License Plate Number: *
Your answer
Have you been to a collection before today?
How did you find out about today's collection? Please select all that apply.
Are you bringing in waste for yourself today? *
What types of waste are you disposing today? Please select all that apply. *
Required
Would you be willing to volunteer at a collection?
Are you interested in learning more about RiverCOG?
Phone Number:
Your answer
E-mail Address:
Your answer
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