From November 10th - 20th

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1. What is your business name?

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2. What are your business hours for pick up/drop off of the bags?

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3. What is your business address?

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4. How many bags would you like to fill?

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5. Please fill in the name of your primary point of contact.

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6. At what email address would you like to be contacted?

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7. At what phone number would you like to be contacted?

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