Missoula Valley Recycling
PO Box 9458 Missoula, MT 59807
543-2972

Please complete the following information and return to the address above in order to start your service (call our office if you have any questions):

(Business) name___________________________________

Contact person____________________

Phone #________________

Alt phone #______________

Collection Address________________________________

Mailing Address __________________________________

Number employees________

How did you hear about MVR? _______________________________________________

Type of business( IF APPLICABLE) (circle one)

Office Restaurant School Retail

Pick-up location (circle one)

Curbside Alley Inside (There will be an additional charge of $2 for inside pick-ups) Notes on pick-up location _______________________________________________
(Any description that might help the driver locate items)

Number/Type of bins______________________

Collection rate______________________________

Total Quarterly Charge____________________

I have read MVR’s policies and guidelines on how to prepare recyclables for collection. I understand that I am subscribing to a continuous service and will be billed in advance on a quarterly basis. I agree to notify the MVR office in advance should I wish to discontinue service.

__________________________________
Signature

__________________________________
Date