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2. If you would like to request one of our recycling brochures, please provide the following information.
4. Name*
6. Address*
8. City*
9. State*
10. Zip Code*
12. Number of Brochures Needed*
14. What version would you like?*

    1. English
    2. Spanish
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16. 1. Receive an email copy of this form.
17. Email address

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18. Submit

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