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):

Name________________________________________________ Phone #_____________________
Address______________________________________________ Alt Phone #__________________
Mailing Address _______________________________________ BFI Garbage Day______________
Number of people in household________ How did you hear about MVR?______________________

Type of building (circle one) Single family dwelling / Duplex / Apartment

Pick-up location (circle one) Curbside / Alley
Notes on pick-up location_____________________________________________________________
(any description that might help the driver locate items)

Rate (circle one)
$12
$9 For Buddies, Elders, and Singles. Please list address/name of buddy.
My buddy____________________________________________________________

I have read MVR’s policies and guidelines on how to prepare recyclables for collection. I understand that I am subscribing to a continuous, monthly 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

Keep this portion for your records:

Monthly collection day__________________ Start date_____________________________
Collection dates remaining this quarter___________________________________________
Please send ___________with the above form and/or contact our office by ____________ to begin
on the above start date.

Please call if you have any questions regarding our service:
Missoula Valley Recycling
543-2972