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Poster Request Form
Fields marked * are required
*
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” )
Enter Benefitting Organization Name:
Enter Drop Off Location
(Name and/or address of drop off location)
Flyer Quantity (Maximum 50):
Qty
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2. Poster(s) without Drop Location ( 8.5” x 11”)
Enter Benefitting Organization Name:
Flyer Quantity (Maximum 50):
Qty
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POSTER (11” X 17”) - CUSTOMIZED
3. Poster(s) with Drop Location ( 11” x 17” )
Enter Benefitting Organization Name:
Enter Drop Off Location
(Name and/or address of drop off location)
Poster Quantity (Maximum 20):
Qty
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4. Poster(s) without Drop Location ( 11” x 17”)
Enter Benefitting Organization Name:
Poster Quantity (Maximum 20):
Qty
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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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