First Name*
 
 
 
Last Name*
 
 
 
Company*
 
 
 
Street Address*
 
 
 
Suburb*
 
 
 
State*
 
 
 
Phone*
 
 
 
Email*
 
 
 
Description of Waste*
 
 
 
Photo of the plastic waste
 
 
 
How is it Stored
 
 
 
Approximate Bulk Density (if known)
 
 
 
Is the Waste Clean (many plastic containers contain hard residue)
 
 
 
Expected Monthly Volume
 
 
 
Current Methods of Disposal
 
 
 
I have watched the Pull Through Effect and commit to utilizing and promoting the products made from my plastic waste.