Business Sponsor Name:
School Name:
School Tax ID:
Authorized Representative:
Telephone:
Fax:
Email:
Address:

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

SCHOOL/CHARITY/CHURCHES SPONSOR AUTHORIZED REPRESENTATIVE (Name and/or Title):
Representative for Hands On Recycling:
Date of Agreement:	(mm/dd/year)