ESDA Pallet Recycling Inquiry Form
The Everett Station District Alliance (ESDA) is aware of the hazards pallets can cause to the environment, the community, and to businesses if not properly discarded or recycled. In response to this, the ESDA is establishing a Pilot Pallet Recycling Program. This program will provide free scheduled pallet recycling pick-up services for BIA businesses and property owners within the District.

Our goal is to better understand, assess, and respond to business and property owners pallet recycling needs. By completing this form, your feedback and input will help shape this pilot programs success and longevity. 
Sign in to Google to save your progress. Learn more
Email *
Are you involved in the Everett Station District Business Improvement Area as a Business or Property Owner?

*Refer to the map below to see if your property/business falls within the BIA.
*
Required
ESDA Business Improvement Area (BIA) Boundary Map
Contact Information
Please provide detailed information so that ESDA may contact you if needed.
Full Name *
Property Address *
If applicable, please provide the business name *
Phone number *
Preferred contact method *
Required
How many pallets are you requesting be picked up from the site? *
Enter the estimated number of pallets on site at any given time that are ready for removal.
Where are the pallets currently located? *
Enter location of where pallets are currently.
What kind of pallets need to be discarded? *
Required
Please provide the size/dimension of the pallets on your property site that you wish to have discarded: *
Required
Does the property/business owner consent to having pallet haul-off conducted on the property site? *
If answered yes to the previous question, please provide the best contact to coordinate pallet pick-up and haul off services:
What day of the week works best for your business/property to receive pallet recycling pick-up services? *
Required

NOTE: Once a form is submitted and a scheduled date for the program recycling services are confirmed, the property or business owner will be required to complete a Memorandum of Understanding (MOU) with ESDA. 

The MOU signifies that a commitment has been made on behalf of the property or business owner, or representative of the property, to not put out pallets for recycling until the approved and designated pickup date/time has been announced.

Contact ESDA's Neighborhood Services Program Manager for any requests, comments, or concerns at damari@everettstationdistrict.com or (425) 366-0610.

Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Everett Station District Alliance. Report Abuse