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:


42. 1. Receive email copy
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field