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2. Recycle Right Magnet, Sticker or Sign Request Form

   Thank you for helping Norfolk Recycle Right! Use this form to request a magnet, sticker, or laminated full-page sign to help you, your team or your family know what recyclables are accepted in Norfolk.

4. First Name*
5. Last Name*
6. Email*
8. I would like to receive the monthly Keep Norfolk Beautiful Newsletter*

   1. Yes
   2. No
9. I am requesting as a*

   1. Resident
   2. Business
   3. Organization
11. How many of each do you need?

    Quantities are limited. If more are needed, please explain using the comments section below.

13. Magnet (4"x6")

    Limit 5 per resident.

14. Recycling Sticker (8.5"x11")

    Limit 5 per resident and 10 per business or organization.

15. Laminated Sign (8.5"x11")

    Limit 2 per resident and 5 per business or organization.

17. Business, Organization, or School Name*
19. Address1*
21. Address2
23. City*
24. State
25. Zip*
27. Comments
29. After Submitting Your Request

    - An email confirming your request has been received will be sent within 2 business days of Keep Norfolk Beautiful receiving your request.

    - Please allow up to 2 weeks for delivery.

Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field