Request Form

PLEASE HELP US TO BETTER SERVE YOU BY PROVIDING US WITH THE FOLLOWING INFORMATION:

ARE YOU LOOKING TO SELL SCRAP PAPER? YES NO
BUY PAPER? YES NO

WHAT GRADES OF SCRAP PAPER ARE AVAILABLE AT YOUR LOCATION?

DESCRIBE GRADE:
GRADE BALED LOOSE QUANTITY: TONS
OTHER BALED LOOSE QUANTITY: TONS

LOCATION OF GRADES:
COMPANY LOCATION YES NO OTHER (PLEASE SPECIFY)

ARE YOU LOOKING TO SELL SCRAP METAL? YES NO

LOCATION OF SCRAP METAL:
COMPANY LOCATION YES NO OTHER (PLEASE SPECIFY)

ARE YOU INTERESTED IN SOLID WASTE REMOVAL?
YES NO

LOCATION OF SOLID WASTE:
COMPANY LOCATION YES NO OTHER (PLEASE SPECIFY)

CONTACT INFORMATION:

COMPANY			CONTACT NAME
ADDRESS			PHONE
CITY/STATE/ZIP			FAX
TYPE OF BUSINESS			E-MAIL ADDRESS

COMMENTS:

YOU MAY FAX THIS COMPLETED FORM TO US AT (631) 643-7942