Event Recycling Request/Report

Coordinator Information

First Name:		Last Name:
Organization:
Type of Organization:
Address:
City:		State:		Zip:
Phone Number:
Email:		Confirm Email:

Event Information

Event Title:
Event Description:
Estimated Number of Attendees:
Would you like additional volunteers referred to your event?
Date / Time:	/ / :
End Time:	:
Event Location:
Type of Recyclable Materials Expected:	Plastic Bottles Aluminum Glass Paper Cardboard
Date / Time of supplies pickup*:	/ / :
Date / Time of supplies return*:	/ / :
*Pick up and drop off available Monday through Friday. We will contact you to confirm your appointment or reschedule.

Request

# of Clear Stream Containers: (used for plastic bottles & aluminum cans)		# of T-Shirts:
# of Gloves:		# of Bags:
# of Flutter Flags:		# of Banners:

Event Report

Total Number of Attendees:
Number of Recycling Bags:
Lbs. of Recyclables Collected: (estimate 8.4lbs per full bag)
Where did you recycle collected materials:
Type of Recyclable Materials Collected:	Plastic Bottles Aluminum Glass Paper Cardboard
Comments:

Keep Austin Beautiful, 55 North I 35, Suite 215, Austin, TX 78702
Telephone Number: 512.391.0617 / Fax Number: 512.391.0624