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* 1. Please provide your contact information.

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* 2. Google Map Link (optional)

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* 3. Please enter the number of each material type that is ready for pickup.

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* 4. Please enter the approximate number of each material used per year

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* 5. Please list the names/locations of all the retailers where these products are/were purchased.

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* 6. Please provide any additional comments that may help with the pickup.

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