College Sign-Up Form

School Name:
School Address:
Authorized Representative:
Telephone:
Fax:
Email:
Auth. Rep's Address:

Hands On Recycling agrees to provide the assistance and planning of recycling efforts on behalf of the institution listed above. Schools are paid $1.00 per each recyclable Cell Phone, Ink-jet and Laser Cartridge they collect. Pick-ups will be made according to the pre-arranged schedule. The above institution authorized Hands On Recycling to pick-up materials for recycling and further agrees to honor this agreement.

College Program AUTHORIZED REPRESENTATIVE (Name and/or Title):
Representative for Hands On Recycling:
Today's Date:	(mm/dd/year)