Laserfiche WebLink
A. Basic Site lnformation <br />Drop-Off Site lnformation #2 <br />Please complete all sections for permanent sites; complete sections A-B for temporary events. <br />Name of site <br />Street address for site <br />City, state, zip code for site <br />Permit holder (if applicable) <br />Service area (counties/cities/towns) <br />Type of Site: tr HHWCF n One-Day HHW Event ! Transfer Station ! Paint-Only Event <br />E other: <br />.1. <br />2. <br />3. <br />4. <br />6. <br />7 lf One-Day Event: Date/Hours <br />Pri mary contact's agency/compa ny <br />Primary contact's name and title <br />Primary contact's email and phone # <br />Second contact's agency/com pany <br />Second contact's name and title <br />Second contact's email and phone # <br />Phone # for households <br />Website for households <br />Days/hours for households <br />Volume limits for households <br />Days/hou rs for businesses <br />Phone # for businesses, if different <br />Website for businesses, if different <br />Admin fee for businesses, if any <br />Volume limits for businesses <br />ls paint given away for reuse? <br />Best newspapers and radio stations for <br />promoting this site? <br />I <br />9. <br />1C. <br />:! J.. <br />'12. <br />13. <br />,i <br />i7. <br />18. <br />19. <br />2L, <br />22. <br />2,!. <br />13. <br />26. <br />Eyes nno <br />Would you like PaintCare to list this site <br />rn prnr aos- rn your area? E Yes E no <br />Additional info or special notes for your <br />site on PaintCare's site locator <br />*Site listings in print ads are for permanent sites only. PaintCore does not list one-day events in print ods. <br />B. Contacts <br />C. lnformation for Household Customers <br />D. lnfo for Businesses (if applicable) <br />E. Other <br />Site lD No._ (internal use only) <br />c-2