Zero Waste Event - Reuse & Recycling

2. 

3. 

5. First Name*

6. Last Name*

8. Phone Number*

9. Email Address*

11. Name of Event*

12. Name of Organization (If applicable)

14. Please submit requests a minimum of 2 business days prior to your pickup date to ensure your request can be made available.

16. Date of Pickup from ACCSW SIGN HERE:______________*
    Date of Pickup from ACCSW SIGN HERE:______________

    Date of Pickup from ACCSW SIGN HERE:______________

    Please submit requests a minimum of 2 business days prior to your pickup date to ensure your request can be made available. Please approximate the time you will pick up the items from us (This is flexible, but gives us an idea of when to have them ready).

17. Date of Event*
    Date of Event

18. Date of Return to ACCSW SIGN HERE:______________*
    Date of Return to ACCSW SIGN HERE:______________

    Date of Return to ACCSW SIGN HERE:______________

    Please approximate the time you will drop off the items to us (This is flexible, but gives us an idea of when to expect you). We prefer to have them returned within two weekdays of the event.

19. I understand that I (or my organization) must return all items to ACCSW between 8am and 5pm, in the condition they were when I picked them up. All wares and linens must be washed and returned in good condition in which the next group will use them. I may be charged cleaning or replacement costs for any items that are not cleaned and returned to ACCSW on the designated Date of Return. Recycling bins must also be returned at the date indicated above. I will sign a copy of this form in the presence of an ACCSW staff at pickup and return of the items. In the event that a recycling bin is damaged or lost, I agree to pay $50.00 per bin for its replacement or repair. *

    1. Yes, I agree to the terms above. I will sign print copy at pickup and return.

21. How many people do you expect at this event?

22. # of Event Recycling Bins (Clearstreams)
    -- Select One --12345678910111213141516171819202122232425262728293031323334353637383940More than 40 (staff consultation)

23. Binny the Recycling Mascot
    -- Select One --YES (Need ACC Staff)YES (We will be Binny)NO

25. Please fill out the following boxes with the requested number of items you need for your event. We will do our best to accommodate your requests based on our available inventory.

    Please fill out the following boxes with the requested number of items you need for your event. We will do our best to accommodate your requests based on our available inventory.

27. Carlisle Melamine Plates - 10"

28. Carlisle Melamine Plates - 6.5-7.25"

29. Carlisle Melamine Bowls - 5.5" 14oz

30. Ceramic Dinner Plates - 9.5"

32. Serrated Steak Knifes

33. Metal Butter Knife

34. Metal Spoons

35. Metal Forks

37. Ceramic Coffee Mugs

38. Cup - 7oz

39. Cup - 16oz

40. Cup - 24oz

42. Ceramic Serving Platters/Trays

43. Punch Bowls (glass or plastic)

44. Cloth Napkins - Tan

45. Table Cloths - Black

47. Clear Plastic Drink Pitchers

48. Glass Carafe - 1 Liter

49. Pint Glasses

50. Green plastic wares

52. Serving Utensils

54. BE SURE TO CLICK 'SUBMIT' BELOW TO COMPLETE THE REQUEST.
    We recommend including your email below for a confirmation receipt to be sent to you.

    We recommend including your email below for a confirmation receipt to be sent to you.

56. Comments:

    Please include any questions, comments, suggestions for reusable items we may want to purchase, or ideas for waste reduction at events!

Leave This Blank:


58. 1. Receive an email copy of this form.
59. Email address

    This field is not part of the form submission.

60. Submit

* indicates a required field