Affiliate Program Questionnaire

 

Please fill out the following form to be a part of our weekly pickup program.

 

Name *
Name
Phone
Phone
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What type of business are you?
Address of pickup*
Address of pickup*
If you have multiple locations please let us know at the bottom.
What types of containers do you return to The Beer Store
What types of containers do you toss or recycle?
On a daily basis how many beverage containers do you go through per day?
How often will you require pick up?
*If you require more frequent pick up we’re working on it :)! If you are operating with 5,000+ containers per day we’ll organize a custom pickup schedule.
Ideal pickup days
Choose 3
Ideal pickup times
Choose 2
What type of charity would you prefer to support?
What could hinder your participation?
Do you want to be featured on our website?
Do you want to be featured on our social media?
Do you want to be a part of our public relations program?
Billing Address: For charitable receipt purposes.
Billing Address: For charitable receipt purposes.