City of Chicago Form

Recycling Block Captain Sign-up Form

Yes! Sign me up to be a recycling block captain. I would like to:

  • Encourage my neighbors to take part in the separate collection program
  • Answer or help them obtain answers to their recycling questions
  • Provide feedback on the program
Name
Address
City
State
Zip
Ward
Phone Number (Cell Preferred)  
Fax  
EMail Address
Clear
 

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