Free Clearstream Frame Request Form

2. 
   
4. Contact Information
6. Organization*
8. Contact Name:*
10. Organization/Contact Address:*
12. Contact Phone Number:*
13. Alternate Phone Number:
15. Email Address:*
17. 
    Event Details
    
19. Event Date*
21. Event Location/Address*
23. Number of Clearstreams**
25. Compost*
26. Recycling*
27. Garbage*
29. Include Signs*

    1. Yes
    2. No
31. Pick-Up & Return Appointments
    Items can only be picked up and returned, Monday-Friday, 8:00 am - 12:00 pm and 1:00 pm - 5:00 pm.

    Items can only be picked up and returned, Monday-Friday, 8:00 am - 12:00 pm and 1:00 pm - 5:00 pm.
33. Please provide the time and day all items will be picked up. *
35. Please provide the time and day all items will be returned.*
37. Condition of clearstreams*

    1. I will ensure that clearstream lids, signs and frames are clean upon return.
39. *Expect email/call within the next 2 business days for pick-up/return appointment confirmation. Submitting this form does not guarantee clearstream frame reservation.
41. **If clearstream sets are not returned within 30 days of an agreed upon date, requester is responsible for replacement costs.
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field