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Name of your organization
Name
Address
City, State, Zip
Main phone
Main fax
Direct line
Web address
Facebook page
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Additional contact person
Title
Direct line
E-mail
Check here if you'd like additional contacts listed in the directory
Yes, please list the following people:
Name
Title
Phone
E-mail
Name
Title
Phone
E-mail
Briefly describe your business or organization:
Please select the category that best describes your organization (check all that apply):
Residential Service
Collector/Hauler
Processor of Recycled Material
Equipment Sales and Service
Trucking and Transportation Provider
Manufacturer of Recycled Products and Material
Vendor of Recycled Material
Broker
Buyback Center
Non-Recycling Business
Commercial Service
Reuse Store or Service
Materials Exchange
Local, State or Federal Government Agency
Nonprofit Agency
Recycling Educator or Consultant
School or University
Military
Individual
Other service providers to the industry (please describe):
Recycled commodity handled
Appliances
CDL
Electronics
Glass
Metal
Organics
Paper
Plastic
Textiles
Other (please describe):
Please sign me up for a sponsors membership
Titanium-$10,000
Platinum-$7,500
Gold-$5,000
Silver-$2,500
Bronze-$1,250
Please sign me up for recycling industry membership
Blue Three - $600
Blue Two - $300
Blue One - $150
Please sign me up for a non-recycling industry membership
Green Three - $500
Green Two - $250
Green One - $125
Please sign me up for a single associate membership
Associate - $75
Picture upload (Please send us your picture for the directory):
Logo Upload (Please send us your logo in the highest resolution posible, we can use any file type):
