Compost Bin Purchase Form

Compost Bin Purchase Form - PCDOH

Please fill out the form below to send us a message
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*

Confirmation EmailPlease re-enter your email
Preferred pick up days | Someone will contact you to arrange for you to pick up the compost bin.*

MondayTuesdayWednesdayThursdayFriday
How many would you like to purchase?*
Cost for each bin is $70.00
Please verify that you are human*
How did you hear about this?
Should be Empty:

Compost Bin Purchase Form - PCDOH