Poster Request Form

 
* First Name
To receive posters, you must be a current participant or enrolled in our program.
CLICK HERE IF YOU ARE NOT ALREADY ENROLLED
* Last Name
* Enrolled
Organization Name:
* Mailing address:
  Mailing address 2:
* City:
* State:   *Zip:
* Telephone:            
* E-mail Address:

You may choose any combination of the following 5 choices.

FLYER (8.5” X 11”) - CUSTOMIZED


1. Flyer(s) with Drop Location ( 8.5” x 11” )
Mobile Phone Fundraining Poster with Drop Location Enter Benefitting Organization Name: 
Enter Drop Off Location
(Name and/or address of drop off location)
Flyer Quantity (Maximum 50):

2. Poster(s) without Drop Location ( 8.5” x 11”)  
Mobile Phone Fundraining Poste Enter Benefitting Organization Name: 
Flyer Quantity (Maximum 50):

POSTER (11” X 17”) - CUSTOMIZED


3. Poster(s) with Drop Location ( 11” x 17” )
Mobile Phone Fundraining Poster with Drop Location Enter Benefitting Organization Name: 
Enter Drop Off Location
(Name and/or address of drop off location)
Poster Quantity (Maximum 20):

4. Poster(s) without Drop Location ( 11” x 17”)  
Mobile Phone Fundraining Poste Enter Benefitting Organization Name: 
Poster Quantity (Maximum 20):
Privacy Policy: Your contact information, including e-mail address, will not be sold or disseminated to other people, organizations, or companies. Your information will only be used for communication between you and GRC Wireless Recycling.
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