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Cigarette Waste Receptacle Giveaway

  1. Cigarette Waste Receptacle Application
  2. This opportunity is open to all businesses in Norfolk with the ability to install, monitor, and maintain a cigarette waste receptacle at their establishment. Receptacles may be used for customers and/or staff. Businesses will assume the following responsibilities:

    • Pick up your receptacle from Keep Norfolk Beautiful, and install it within 14 days.
    • Anchor the receptacle in place or weigh it down with sand.
    • Monitor the receptacle to ensure the lid stays secure.
    • Empty the receptacle on a regular basis to prevent the receptacle from becoming overfull.
  3. Business Type (Select all that apply) *
  4. Where will your receptacle be placed? 

  5. Who will primarily use the receptacle? *
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  7. This field is not part of the form submission.