2. Interest Form - Organized Hauling Committee

   Complete this form to express interest in participating in an exploratory committee to research organized hauling. 

4. First Name*
5. Last Name*
7. Street Address*
9. City
10. Zip
12. Email*
13. Phone Number*
15. Government Data Practices Act - Tennessen Warning:*

    Click the box to acknowledge that the data you supply on this form will be used to process this application. You are not legally required to provide this data, but the City will be unable to proceed without it. The data will constitute a public record.

    1. I acknowledge the Government Data Practices Act - Tennessen Warning.
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17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

* indicates a required field