Complete the form below to be reminded when the date is approaching to allow time to gather chemicals for disposal.
First and Last Name
(required)
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Email
(required)
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Best Contact Phone (xxx-xx-xxxx)
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Where do you live?
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How did you hear about our local HHW events?
Media
Local Landfill
Local LEPC
Website
MyWasteApp
Other
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Additional Comments
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