We Compost registration form

Contact name*

Please let us know your name.

Your Email*

Please let us know your email address.

Phone

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Cell phone

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Position at Business

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Best way to reach you

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Best time to reach you

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Restaurant name*

Please provide the name of your restaurant

Restaurant address*

Please provide restaurant street address

Restaurant city*

Please provide restaurant city

My establishment is compliant with local Public Health Food Code Standards and has had at least 1 year of inspections without re-inspection.*

YesNo Please fill out the standards and inspection info

Are you already a certified Clark County Green Business?

YesNo Invalid Input

If not, would you be interested in pursuing the certification?

YesNo Invalid Input

Why do you want to join the We Compost pilot program?*

Please explain why you are interested in the We Compost pilot program

Please check the box for the captcha