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Medication Disposal Bag Sign Up
1.
Are you looking for medication disposal bags for your business/agency or personal use?
Agency/Community Center/Business/Etc
Personal Use
If for business/agency use, please enter the name here:
2.
Each bag can dispose of about 40 pills. How many medication bags do you need?
3.
Please enter your contact info below so we can set up a way to get bags to you.
Name
Address
City/Town
State/Province
ZIP/Postal Code
Current Progress,
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