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Compost On The Go!

Application Form

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1.What is your First Name?(Required.)
2.What is your Last Name?(Required.)
3.What is your Phone Number (10 digits without spaces or dashes)
4.What is your Email Address? Format( _________@____.____)
5.What is your Home Address ( You Must live within a 10 Mile radius of our warehouse located at 1133 Wilso Drive Baltimore MD 21223 to qualify for our program )(Required.)
6.How did you hear about the Compost On The Go program?(Required.)
7.What is your Household Income level?(Required.)
8.Which ethnicity best describes you? (Required.)
9.How many members are there in your household?(Required.)
10.What is your current means of transportation?(Required.)
11.Do you currently compost at home or as part of a composting service/program in your community? (Required.)
12.Do you Understand this statement?
4MyCiTy Inc. is a non-profit focused on environmental sustainability through the diversion of food waste from our landfills or waste management facilities to our unique line of onsite composting machines. I agree to place only approved waste items in the bags and follow the guidelines explained in my introductory call with the 4MyCiTy representative.(Required.)
13.I understand that I will need to send an Email on days that I would like my Compost On The Go Bags! picked up. Pickups are only scheduled in increments of 5 or 10 bags per pickup. and must be scheduled between 9am and 4pm Monday through Friday. Any special timeframe request must be discussed and approved by a 4MyCiTy representative. (Required.)
14.I agree and Understand that 4MyCiTy Inc. Is a nonprofit organization and is doing this service Free of charge to me and or my family on a voluntary basis. This program is not a guaranteed program and can end at anytime without notice. 4MyCiTy does not employ or is responsible for the DoorDash drivers assigned to pickups.  This program is designed to help reduce food waste while effectively supporting composting within our communities. Your participation in the program is voluntary and can be terminated at any time at the discretion of 4MyCiTy leadership.(Required.)