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35-Gallon Blue Recycling Cart Order Form

  1. Forms may not function properly if using Microsoft Internet Explorer 9 (IE9) or earlier. If you experience issues, please call 866-NEW-BINS (866-639-2467).

  2. Instructions

    This pilot program is to test if a larger, 35-gallon blue cart (like a smaller version of a 96-gallon rolling trash cart with a lid and wheels) will be well received by residents and will generate more, clean blue bin recyclables.

    Interested? Here are the parameters:

    • You must live in unincorporated Palm Beach County and have curbside garbage collection service
    • There is a $15 fee to join the pilot program,  cash only
    • All participants will need to fill out a pre- and post-use survey to help measure the use and effectiveness of the carts
    • You must come to the SWA to pay the fee, complete the pre-use survey, and pick up your new recycle cart
    • You must be willing to take the post-use survey after 6 months of use
    • You must report damage, maintenance or repair needs to the SWA in a timely manner so the cart can be serviceable

      Thank you for helping to Recycle Right in Palm Beach County.

  3. If no telephone, enter 555-555-1234.
  4. If you would prefer a response to your questions by email, please enter to address here.
  5. Please add me to the SWA's monthly eNewsletter, Waste Matters.*
  6. I currently have:
  7. Use of 35-Gallon Cart*

    I understand that this 35-Gallon Blue Recycling Cart is to be used for only blue recycle bin materials such as plastic, metal and glass food containers less than 2 gallons.

  8. I live in:*
  9. Please let us know when you would be available to pick up the 35-gallon cart from our office at:

    7501 North Jog Road, West Palm Beach, FL 33412

    Please note this is not a final scheduled date/time. We will contact you to confirm.

  10. How did you hear about this program?*

    (Click all that apply.)

  11. Leave This Blank:

  12. This field is not part of the form submission.