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Donation Form
Your name:
Address:
City, state, zip:
Email:
Telephone numbers:
   
Please print this and send it to us or bring it into the center. Thank you.
Our mailing address is: PO Box 682998, Park City, UT 84068.
You can also make an online donation here - thank you for saving paper!!!
 
Champions
     Caps and Corks      $ 50
     Aluminum Cans       $ 90
     Cardboard              $ 180
     Paper                     $ 360
 
Business Leaders
     Plastics            $180
     Glass               $360
     EPS                 $500
 
Full Bin Sponsorship     $2,400 / $1,200 per year*
Earth Guardian              $5,000 plus
Additional Contribution $ _______
 
 
* Contact Insa Riepen for details on Bin Sponsorship benefits.
 
The Park City Conservation Association, dba Recycle Utah, is a 501 c(3) non profit organization, making your donation tax deductible. Our Federal Tax ID Number is: 87-0480848.
 
Method of Payment:
Cash or Personal Check is always accepted. There will be a $5 service charge for credit card charges. Please contact us if you have any questions - 435-649-9698.
 
 
Name on card:
CC Number:
Exp date:
Tel. #
Billing zip code:
Amount:
Signature:
 

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1951 Woodbine Way,  P.O. Box 682998, Park City, UT 84068 

(435) 649-9698 - (fax) 658-1530

 
  Build Green Utah