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Fluorescent Lamp Recycling Box Request

Complete this form to order a replacement lamp recycling box. If you have questions about this process, please click here to email Robert Bishop for further instructions.

Important Notes:

*Each recycling box MUST BE FULL before shipping to the recycle vendor because MCPS prepaid $50.00 for the shipping and disposal of each box.

*You must complete the 'Unique Container Number' and 'Date Shipped' fields below for this request form to be processed! If these fields are left blank your request for a new recycling box may not be processed. If you cannot complete this information use the 'Comments' field to explain why.



Contact Information




Location Information










Returned Container Information

(from the container you are sending to recycle now)

1)

   

Date Shipped:         


2)

   

Date Shipped:         


3)

   

Date Shipped:         


4)

   

Date Shipped:         


5)

   

Date Shipped:         


Requested Container Information



Any Comments?




Upon submission of this form you will receive a receipt. Please print this receipt and keep it for your records!

Modified Wednesday, January 6, 2010 by DMM Webmaster