Fall 2008 Recycled Paper Co-op
Recycling Labels and Bins Order Form
Fax to: (612) 623-3277 no later than
Tuesday, October 14th
firstname.lastname@example.org Info Spec. Initials: ___
Address (include city & zip code):
How did you hear about the co-op?
Recycling Education Labels Price per Label Totals
Type Dimensions 1-50 51-200 201+ Quantity Unit Price Subtotal
Large Paper & Cardboard 7.5” square $0.96 $0.72 $0.62
Small Paper & Cardboard 4” round $0.58 $0.44 $0.38
Large Trash 8.5” x 3.5” $0.64 $0.48 $0.42
Small Trash 4” round $0.94 $0.71 $0.61
Price per Bin
Desk-Side Recycling Bin
1-20 21-100 101+
17.5” H x 11” W x 12.75” D (assembled) $4.25 $4.05 $3.75
Tax 7.40 % Sales Tax x .074
*If your organization is tax exempt, see below.
Total Unless you hear from us, this is your final
* Tax exempt organizations that have not ordered from us before need to provide an ST-3 form. You can
download an ST-3 form online at: http://www.taxes.state.mn.us/taxes/sales/forms/st3.pdf.
Please see reverse side for payment information.
Payment must be received at the time your order is placed. You may pay for your order by
credit card, or bring a check, credit card, or cash payment when you place your order. Please make your
check payable to Eureka Recycling.
To pay by credit card, please completely fill in the information below:
Name (as it appears on the credit card):
Billing Address for credit card:
City: State: Zip Code:
Credit Card Number:
__Visa __ MasterCard
Expiration Date: Signature: