Please complete this form and click on "Submit" to send to RRIE. Payment instructions will follow.

 Individual: $60 ... 1 Card (more info)
 Organization: $215 ... 4 Cards (more info)
 System: $365 ... 8 Cards (additional cards may be purchased) (more info)
 Corporate Sponsorship: $365 ... 8 Cards (more info)

Your Name

Home Address

City, State, Zip

Home Phone

Email Address

Business/School/Organization

Contact Person

Address

City, State, Zip

Org. Phone

Please indicate where you would like mailing sent:   Home     Business

By submitting this form, I understand that all materials are distributed in as-is condition, with no guarantees or warrantees stated or implied by Recycling for R.I. Education. No liability is assumed by Recycling for R.I. Education for the acquisition, distribution or redistribution and reuse or misuse of materials. The member assumes all risk. My submisission of this form is my acceptance of these responsibilities.

Please help us to know where our publicity efforts are best directed.
How did you hear about us?
 Newsletter
 Educator
 Media
 Other 

  I was referred by a member! Please send us each coupons for FREE STUFF!

Referring Member Name

Address

City, State, Zip

Volunteer a little of your time to RRIE and earn the opportunity to shop FREE at the Recycle Center!