Event Registration

First Name *

Last Name *

Phone Number (XXX-XXX-XXXX)

Email *

State *

Zip *

Please answer this short questionnare:

I am a resident of Niagara County. *

Yes No

I have read and aknowledged the list of acceptable and unacceptable items. *

Yes No

The material I am bringing to the collection event was generated in my home. *

Yes No

I understand that there is a recycling fee of $10.00 for specialty items. *

Yes No

How did you hear about the collection event?

Online / Internet

Newspaper Ad

Mailer

Facebook

Poster

Radio

Word-of-Mouth

Other

Register for Niagara County HHW (North Tonawanda)