Lyons Volunteers and CHaRM request (Center for Hard to Recycle Materials)
Lyons Volunteers is a service of Lyons Emergency Relief Fund (LEAF). Please use this form to request pick up of your hard to recycle materials. On Wednesday, March 15th, they will pick up Block Styrofoam and Scrap Metal ONLY. Users will need to fill out this form and submit it before the end of the day on Tuesday (Mar 14) in order to be included. Thank YOU!
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Email *
First Name and Last Name *
Street Address for pickup *
Phone number *
Materials to be picked up *
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Do you have any special requests? 
I understand that this is a request for free assistance and that under no circumstance will I be held liable for any payment, now or in the future, for any services rendered unto me by the volunteer organization. I do hereby release and discharge LEAF, the Lyons Volunteers, its agents, representatives, and assigns from any and all liability and claims, now or in the future, which I or any person claiming through me, may have arising from any repair, renovation, or relief work engaged in by such agents, representative, employees or assigns on the above premises. I understand that I am responsible for any and all permits and license requirements on aforementioned premises. I hereby give Lyons Volunteers, representatives, and assigns permission to enter onto the aforementioned premises until such time that all requested work is completed. I freely release Lyons Volunteers, its agents, representatives, and assigns from any claim or liability involved with the information published or printed for public information. *
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