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2. First Name*
3. Last Name*
5. Email Address*
7. Have you ever composted or recycled your food scraps?
   *

   1. Yes
   2. No
9. Would you like to know more about community composting and its benefits? *

   1. Yes
   2. No
11. If the Town offered a drop-off site for your food scraps, free of charge, how likely would you be to participate?
    *
    -- Select One --Very likelyLikelyUnsureUnlikely
13. If you are interested in a drop-off program, please provide your street address below and the number of the ward you live in.

    This is helpful to us in determining the location of drop-off sites.

15. Street Address
17. City
18. State
19. Zip Code
20. Ward Number
22. Are you interested in volunteering with the food scraps initiative?
    

    1. Yes
    2. No
24. By checking here you are consenting to receiving further information and updates about the food scraps recycling program:

    1. Yes, sign me up
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25. Submit

* indicates a required field