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2. What is your organization interested in?*

   Check all that apply.

   1. Start recycling
   2. Start organics recycling (food waste, soiled paper)
   3. Improve existing recycling
   4. Reduce or prevent waste
4. In less than three sentences, what kind of project do you have in mind for your organization?*
6. Which best describes your business or organization?*

   1. Accommodation and food service (ex. hotel, restaurant)
   2. Arts, entertainment and recreation (ex. theater, fitness center)
   3. Finance and insurance (ex. bank, broker, insurance)
   4. Health care and social assistance (ex. clinic, hospital, nursing home, assisted living)
   5. Information (telecommunications, publishing)
   6. Retail (ex. grocery, convenience, clothing, sports, personal care store)
   7. Real estate (ex. property management, multi-unit housing)
   8. Other
8. If you selected Other, please specify.
10. Are you in control of your trash/recycling hauler contract/service?*

    1. Yes
    2. No
    3. Don't know
12. How did you learn about the Business Recycling Assistance Program?*

    1. Mailing from Anoka County
    2. Chamber of Commerce
    3. Internet search
    4. Anoka County website
    5. Advertisement
    6. Social media

    1. Another business
    2. Non-governmental organization
    3. Hauler
    4. Mailing from City
    5. Recycling Ambassador Program
    6. Other
14. If you selected Other, please specify.
18. Provide your contact information
20. First Name
21. Last Name
23. Email Address
24. Phone number
26. Business Name
28. Address1
30. Address2
32. City
33. State
34. Zip
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field