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* 1. Name of Business or Organization

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* 2. Type of Business/Organization

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* 3. Number of Employees

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* 4. Pounds or Volume Diverted per year

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* 5. Materials Diverted (check all that apply)

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* 6. How Diversion Happened?

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* 7. Motivation for Diversion (select all that apply)

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* 8. Would you like your diversion story to be shared on the City of Milwaukee webpage?

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* 9. If yes, please include contact information

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