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2. Please fill in the information below to sign up.

   Registration is required to participate.  Once the information has been submitted, you are officially signed up with the program.  Stop on down to City Hall to obtain your free collection pail and roll of organic green bags.

4. Name*
5. Email Address*
7. Street Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number
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15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

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