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Ripple Glass Bin Host Application Form
Questions?
Contact Us
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Name of the business or organization:
Business market:
Atlanta
Kansas City
St. Louis
Business address:
City:
State:
MO
KS
IL
GA
Your first name:
Your last name:
Phone number:
Email address:
Relationship to business/organization:
Do you or your business own the parking lot where you would like to host a Ripple Glass bin?
No
Yes
Do you currently have space available to place a 20ft Roll-Off Bin?
*about one parking spot*
No
Yes
Does your lot have security cameras or overnight security services?
No
Yes
How soon would you like to host a bin?
Immediately
Next month
In the next 6 months
6+ months from now
Submit Application
