| Name:
Community:
Type of Recycling Program:
How
did you hear about HR CLEAN:
Would you like a representative to contact you?
Yes No
Your Email Address:
Phone Number At Which You Can Be Reached:
Your Environmental Program Comments:
Your Environmental Program Suggestions:
How did
you learn of HR CLEAN?
If other, please specify:
Thank
you very much for letting us know your concerns. Your comments are a
vital to the success of the programs we provide. The time you have taken
today to share with us, is very much appreciated.
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