2. 
4. Thank you for shopping at the Reuse Store!
   Please fill out the checkout form below.
6. Name*
8. Email address*
10. Pounds of material diverted from the landfill (staff will weigh your items and provide #)*
12. Of which of the following eligible groups are you a member?*

    1. Artist
    2. Nonprofit
    3. Student
    4. Religious organization
    5. Daycare facility
    6. Camp or after school program
    7. Hospital
    8. Social worker
    9. Other
14. Name of your organization ("self" if applicable)*
16. Which county do you live or work in?*
18. What items did you get today? (include approximate quantities)*
20. What items do you most need/want from the Teacher Reuse Store?
22. Is this your first visit to the store?*

    1. Yes
    2. No
24. How did you hear about us?
26. Any other feedback?
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27. 1. Receive an email copy of this form.
28. Email address

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29. Submit

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