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Public Place Recycling Application to Participate

Nominating Council Site Location Site Owner Details Name:   Address:   Phone:   Email:   Description of Site Users Estimated annual number of users:   Origin of users:   Activity types:   Number of recycling bins required:   Name of recycling contractor:   Site owner will pay for regular servicing of bins: _____ Recycling bins will be located next to rubbish bins: _____ Bins will be positioned generally in accordance with BIEC findings: _____ Site Owner: ____________________________________ Signature: _______________________ Date: _____________________