Rhode Island Electronics Recycling Partnership

1. MITS E-Waste Recycling Partnership Application

Thank you for applying for the Rhode Island electronics recycling grant program with Good Point Recycling. This program is funded by Sony, LG, Viewsonic, Acer and other manufacturers seeking to improve collection of used electronics under Rhode Island product stewardship laws. This program will actually pay your facility to collect old TVs and computers. To be considered for this grant program, please provide responses to all of the survey questions below.

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* 1. Please provide the name of a contact person at your facility who will be responsible for the management of the used electronics you accept.

Name:

Company:

Address:

Address 2:

City/Town:

State:

ZIP/Postal Code:

Country:

Email Address:

Phone Number:

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* 2. Are you interested in hosting a "One Day Event" (publicized collection day at your facility or a nearby site)? Good Point Recycling offers these as fundraisers (benefits can be to a local school, civic organization, or your own charity). Indicate how many collection events per year you'd like us to sponsor.

No events - want regular collections of ongoing volumes

1 event per year

2 events per year

3 or more events per year

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* 3. How many sites do you have which could collect TVs, computers and other electronics?

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* 4. Which of the following devices are you willing to accept from Rhode Island residents for recycling?

	Collecting already	Not collecting but willing	Not willing to collect
TVs	TVs Collecting already	TVs Not collecting but willing	TVs Not willing to collect
Monitors	Monitors Collecting already	Monitors Not collecting but willing	Monitors Not willing to collect
Computers	Computers Collecting already	Computers Not collecting but willing	Computers Not willing to collect
Printers	Printers Collecting already	Printers Not collecting but willing	Printers Not willing to collect
Cell phones	Cell phones Collecting already	Cell phones Not collecting but willing	Cell phones Not willing to collect
Anything with a cord	Anything with a cord Collecting already	Anything with a cord Not collecting but willing	Anything with a cord Not willing to collect

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* 5. For storage, how many pallets or large boxes (gaylords) can you store between collections? (The more you can store, the lower collection costs and the higher the grant)

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* 6. Please indicate your delivery method:

We will truck the material to Good Point Recycling warehouses in Plainville, MA or Mansfield MA (highest payment)

We have and indoor facility and loading dock for Good Point Recycling trucks to collect from.

We require outdoor storage (trailer or storage pod)

Other (please specify)

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* 7. Thank you for enrolling in our e-waste recycling program. The amount you will be reimbursed will depend upon the number of CPU computer units and TVs per pickup, and the method of delivery (we will pay up to $200 for self-delivery). If you have questions about the survey, please call Robin Ingenthron, CEO, at 802-382-8500. You can also enter comments and questions in the field below. Thanks for recycling!