2024 Van Buren Conservation District                      Large Tire Collection Sign-up Part 1
This is Part 1 of 2 of your large tire collection sign-up. 
Please watch for an email (that will come approximately 1-2 weeks before the collection) that will include the form for Part 2. Part 2 must be completed to RSVP your tires. 
If you have tires, smaller than tractor tires, we might be able to accept them at this collection as well. 
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First Name *
Last Name *
Street Address *
City *
Zip Code of Residence/Land Ownership *
Email Address (Enter "NA" if you don't have access to one.) *
Phone Number *
Number of Large Tires (Please report total # you have. You are guaranteed space for 5 large tires. Your reminder email [sent the day before the collection] will include the total number for which space has been reserved.) *
Approximate Sizes of Tires (e.g. 4 ft x 2 ft, 6ft x 3ft) *
Number of Passenger and/or Semi Tires (Please report total # that you have. If we have space, we will accept business-related passenger tires as well.) *
Are these tires from a buisness?
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What type of buisness are the tires from?
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Way You Heard About Event *
Required
Which large tire collection(s) do you want to be contacted about attending? Please pick one and submit another form if you plan to attend multiple events. *
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