Mac Recycling - Reshaping Recycling

Fundraising Opportunities Form

Have you collected clothing for us before?	Yes No
Organization’s Name *
Organization’s Address
City
State
Zip Code
County
Telephone
Fax

Be assured, we do not share your personal information.
Contact Person’s Name *
Home Tel
Work Tel
Cell
E-mail*
Make check payable to
Send check to
Requested date of Pick up	/ /
Requested time of pick up	: AM PM
Dates of Collection Program
From	/ /
To	/ /
Directions to organization