Recycling Form

Recycling Form
Recycler Information:
Name

First NameLast Name
Company
Address
City
State
Zip Code
Country
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Recycling Information

Let's get information about what you are recycling.
Have you recycled with us before?
What type of items are you recycling?
Enter estimated number of items recycling
Estimated weight(lbs) of the box of items you are sending.
How are you delivering your items?
Drop Off Location Name

0/60
Which Ambassador or Partner connected you with The Bra Recyclers?
Select the name from the list. If the Ambassador or Partner is not listed, select Other.
Please tell us the Ambassador, Partner, retailer, or organization.
Select if you permit sharing your contact information with the selected Ambassador/Partner. By selecting yes, you agree to let us share your name, email, mailing address, and the number of bras you recycled.
What contributed most to your decision to stop wearing or using the items you are recycling today? Select up to 3.
Please tell us the other reason.
Did a brand or retailer’s recycling, giving-back, or community efforts influence your decision to recycle these items today?
Where did you hear about us?
Please Specify, if applicable
Maximum characters 100
Would you like to receive occasional updates from The Bra Recyclers?
*Please note: Confirmation emails are sent approximately 21 days after you complete the recycling form. Please check your spam or junk folder if you do not see it by then.

If your items are dropped off at an Ambassador location, some locations may donate items directly to local charities. In those cases, The Bra Recyclers may not receive the items at our warehouse and may not be able to send a confirmation.
Share Your Experience for a Chance to Win a $50 Gift Card
Your experience can help us better understand how bras and underwear are used, what works well, why items are no longer worn, and what could improve future products and shopping experiences. The insights we gather can also help our retail partners make more informed decisions about fit, comfort, quality, product selection, customer service, and the overall experience they provide.

Complete all of the short questions below to be entered into our quarterly $50 gift card drawing. Participation is optional and does not affect your recycling submission.
About how long have you had the items you are recycling today?
How often were most of these items actually worn or used?
How were most of these items typically washed and dried?
After your experience with the items you are recycling, what best describes what you did next?
What did you switch?
What most influenced that change? Select up to 2.
Please tell us what else influenced your decision.
How likely are you to buy from the same brand again within the next 12 months?
Thank you! You’re entered into our quarterly $50 gift card drawing.
Please verify that you are human
Quarterly Drawing Eligible (All survey fields need to be completed)
Submission Type
Date

MonthDayYear
Date
Account Name
Business Type
Type
Are items restricted
Sender Name
Opp Activity Type
Tell us why you are recycling your bras or new underwear.
Should be Empty:

Recycling Form

Recycling Information

Share Your Experience for a Chance to Win a $50 Gift Card