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Street, City, State, Zip Code

Use dashes: xxx-xxx-xxxx

In US dollars

In US dollars

Please list where your city is disposing of its residential trash, recycling, electronic waste, and hazardous materials.

Please list where your organization is disposing of its trash, recycling, electronic waste, and hazardous materials.

Please list where your school is disposing of its trash, recycling, electronic waste, and hazardous materials.

Describe how the Commission will be recognized or acknowledged for its donation toward this project.

Please enter more details of your request. If none, enter "N/A". A member of our staff will respond as soon as possible.

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