Applications, Permits, and Licensing

2. Organization Name*
4. Primary Contact*
6. Primary Contact's Email*
8. Primary Contact Phone Number*
10. Residence Address*
12. City*
13. State*
14. Zip Code*
16. Executed contract with Bruin Waste Management for 12 month of Compost Services*
18. Are you interested in constructing an enclosure for your composting receptacle? Are you interested in individual composting buckets/bins for use in multifamily/HOA units?

    1. Constructing an enclosure
    2. Individual buckets or bins
    3. Both
    4. Other
    5. None of the above
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field