RMC Online Registration Form

Type of Drop-Off *

Permanent public drop-off location. (These locations will be included in the RMC searchable database.)
Non-public drop-off location. (Your locations will be excluded from the RMC database. Appropriate for schools.)
Set up short-term campaign.

Contact Name *

Organization Name *

Building Name

Address *

City *

Dropdown

Postal Code *

ie: A0A 0A0

Phone Number *

E-Mail Address *

Organization Facebook

ie: https://www.facebook.com/RecycleMyCell/

Organization Twitter

ie: @RecycleMyCell

Please indicate what best describes your organization *

Materials & Agreement *

Please review the Terms and Conditions which outline the responsibilities you are undertaking by hosting a drop-off location, as well as our responsibilities to you.

Please send me RMC posters & brochures

Name *

Building Name

Address *

City *

Dropdown *

Postal Code *

ie: A0A 0A0

Phone Number