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* 1. What is your name

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* 2. What's your email address?

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* 3. Which company do you work for?

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* 4. Date of drop off

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* 5. Location of drop off, i.e. name of grocery store and state

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* 6. Approximate weight of plastic material dropped off? (You can weigh this at home or use your best guess. Please submit weight estimate in ounces.)

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