REDUCE, REUSE, RELAX, RECYCLE WITH URBAN IMPACT
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Urban Impact

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Community Giving Program Signup Form
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This form is those who would like to apply for our Community Impact Program.

Our Community Giving Program offers free recycling at your charity event or fundraiser, or for a free office paper recycling program )


Please fill out the form below and submit it or print it out and fax it to ( 604 ) 273-0499
*Note: Your email is required so that we may respond promptly to you.
Event Name:
Charity or Organization:
Contact Name: ( First & Last Name)
Contact Phone:
Address:
City:
Postal Code:

Do you want to recycle at your charity's event?
Yes or No?
What type of event is it?
Date of the event?( Day, Month, Year)

Please briefly describe where your event is taking place, what you think you would like to recycle, then the event is taking place and other details we need to know.


Do you want to recycle at your charity's office?
Yes or No?

Please briefly describe your office setting including the number of persons in the office and where your office is.


Are you a current customer of Urban Impact?
Yes or No?

We will respond to you by phone to discuss your participation!