Waste Reduction Container Grant Application Form

Please complete and submit this online grant application form to request funding. Alternatively, you may fill out the Word version provided here and fax, email or mail it to Michele Morris, CSWD, 1021 Redmond Rd., Williston, VT 05495; Fax 802-878-5787; mmorris[at]cswd[dot]net.

Business and Institution Container Grant RFP 2013

Contact Info
Name of Business or Organization*
Physical Address*
Street AddressAddress Line 2CityStateZIP Code
Mailing Address (if different from above)
Street AddressAddress Line 2CityStateZIP Code
Contact Person Name*
Contact Phone*
Number must be entered as (###)###-####. Extensions cannot be included; instead, please just list your main contact number.
Contact Email
Enter EmailConfirm Email
Container Info
Vendor Item Numbers and Quantity*
Please list the item numbers for all models you will be purchasing so we can verify that they match grant criteria. Indicate how many of each model you will be purchasing. E.g., Item #REC-1234 (4 each).
Website Address of Container Vendor*
Please enter website URL.
Website Address of Any Additional Container Vendors
Please enter website URL.
Description of Container Deployment and Servicing*
Please describe where and how the containers will be used, who will be responsible for emptying and maintaining them, how the materials collected will be transported, and to what facility.
Please upload a copy of the label/signage being used on these containers if you are not using CSWD materials.
If upload does not work, you may email or mail the file separately. Only these file formats will be accepted as uploads: pdf, gif, png or jpg.
Please upload written vendor quote(s) for container(s).
If upload does not work, you may email or mail file separately. Only these file formats will be accepted as uploads: pdf, doc or docx.
Email
This field is for validation purposes and should be left unchanged.

Waste Reduction Container Grant Application Form

Contact Info

Container Info

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