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  • Pilot Phase Participation Form

  • Only five businesses will be selected for this pilot phase.

    Thank you for your interest in participating in the Bag Your Bills pilot. This pilot is designed to trial some enhanced systems and processes and to ensure the service works smoothly in practice.

    Please complete the form below to confirm your interest in participating.

  • Contact Details

  • Format: (000) 000-0000.
  • Business Information

  • Additional Question

  • Pilot Participation Acknowledgement

  • By submitting this form, you confirm that you have read and understood the pilot participation conditions and agree to take part in the Bag Your Bills™ pilot phase under those terms.

  • Should be Empty: