Information Request

To better serve you, please take a moment to provide the following information about your facility and your needs.

Complete the form below and a member of our team will follow up with you.

Are you recycling food waste?

Are you recycling inorganic material?

What product materials do you handle? (check all that apply) * Required

Packaged Food

Pre-processing

Bi-products

Bulk loose

Liquid/Semi/Dry (note % in comments section below)

Comingled (grocery)

Plastic (note rigid or flex in comments section below)

Category # 1 2 3 4 5 6 7 (note category in comments section below)

Paper/Paper board

Cardboard

Ferrous Metal/Aluminum

Glass (note clear or color in comment section below)

Other (specify in the comments section below)

In what facet do you handle material? (check all that apply) * Required

Warehousing

Processing

Packaging

Freight

Storage

Other (specify in the comments section below)

In what manner are these products transported? Roll-off (size) 10-15-20-30-40 yrd Other___________ Palletized (lbs per) ________ Gaylord Box (lbs per) _______ Tanker (gallons)

Product type? (check all that apply) * Required

Fruit

Vegetable

Meat

Bread

Bakery

Dairy

Alcohol

Soda

Juice

Starch

Water

Beauty

Hygiene

Plants

Other (specify in the comments section below)

Customer intent of products desired to be processed or coordinated by Perfect Circle Recycling. Be sure to provide your product description, product volume (daily, weekly, monthly) and pallet and/or gaylord.

Comments - Please provide any additional details about your inquiry here.

Company Agent Name and Contact Information

Company Name and Mailing Address