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Coffee Packaging Brigade Sign Up

If you are interested in becoming the administrator of one of the 100 Coffee Packaging Brigade locations across the UK, please complete the application form below:
*Please note we are not currently considering schools as locations at this stage
1.Your name:
2.Your TerraCycle login name:
3.The email address you use on your TerraCycle account:
4.Daytime telephone number for us to call you on:
5.Which city would you provide a local drop-off point for coffee packaging waste in?
6.What are the opening hours of the proposed location?
7.Please tick any Brigade that you already participate in:
8.Please highlight the network of local collectors already in place that bring their waste packaging back to
you:
9.Please tick and list where you would place the collection box for community members to drop off their
waste coffee packaging: (Please insert full address)
10.Have you secured approval from the necessary person(s) to position a collection box that is open to
the public on their premises, for the address to be listed on the TerraCycle website and to participate in local publicity?
11.Please list the name, email address and contact telephone number for the location's contact for TerraCycle to confirm the above with them.(Required.)
12.Which school / charity or non-profit organisation would benefit from the points generated for the collected
coffee packaging waste?
13.In 200 words or less please highlight why you would like to be one of the 100 nationwide Coffee
Packaging Collection points?